Samantha Wilson, - Medicare Nurse Practitioner in Fairfax, VA

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Samantha Wilson, is a medicare enrolled "Nurse Practitioner - Women's Health" in Fairfax, Virginia. Her current practice location is 10521 Rosehaven St Ste Ll100, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 281-5000.

Samantha Wilson is licensed to practice in Virginia (license number 0024177383) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164081915.

Contact Information

Samantha Wilson,
10521 Rosehaven St Ste Ll100,
Fairfax, VA 22030-2877
(703) 281-5000
(703) 255-0765

Map and Direction




Provider's Profile

Full NameSamantha Wilson
GenderFemale
SpecialityNurse Practitioner - Women's Health
Location10521 Rosehaven St Ste Ll100, Fairfax, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164081915
  • Provider Enumeration Date: 06/06/2019
  • Last Update Date: 12/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6901267459
  • Enrollment ID: I20230731002225

Medical Identifiers

Medical identifiers for Samantha Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164081915NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LW0102XNurse Practitioner - Women's Health RN1021762 (District Of Columbia)Secondary
363LW0102XNurse Practitioner - Women's Health 0024177383 (Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samantha Wilson allows following entities to bill medicare on her behalf.
Entity NameCapital Womens Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679534069
PECOS PAC ID: 4880582741
Enrollment ID: O20040315000188

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samantha Wilson,
8110 Maple Lawn Blvd Ste 235,
Fulton, MD 20759-2694

Ph: (013) 408-3393		Samantha Wilson,
10521 Rosehaven St Ste Ll100,
Fairfax, VA 22030-2877

Ph: (703) 281-5000

Reviews and Comments


Nurse Practitioner Nurses in Fairfax, VA

Lindsey Stanton, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10530 Rosehaven St Ste 100, Fairfax, VA 22030
Phone: 703-938-0363    Fax: 703-938-8653
Hala D Mata,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3053 Nutley St, Fairfax, VA 22031
Phone: 703-560-4852    
Calvin Layne Iii, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10304 Eaton Pl Ste 100, Fairfax, VA 22030
Phone: 571-463-8620    Fax: 571-999-7549
Jenni Jeanette Lorene Barnhizer, RN, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3580 Joseph Siewick Dr Ste 205, Fairfax, VA 22033
Phone: 703-620-3211    Fax: 703-620-3215
Natalia Castro, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12817 Hamlet Hill Way, Fairfax, VA 22030
Phone: 703-963-9033    
Erin Rudiak, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9401 Route 29, Fairfax, VA 22031
Phone: 703-383-4836    
Josephine Pangan Bolivar-kerns, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9299 Tower Side Dr Apt 438, Fairfax, VA 22031
Phone: 414-939-6346    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.