WILDWOOD EMERGENCY GROUP, LLC
NPI 1013409721
Emergency Medicine in Blacksburg, VA

Active since May 30, 2018
3700 S MAIN ST, BLACKSBURG, VA 24060(540) 951-1111 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 4, 2024, May 13, 2021 (2 updates tracked since 2021).

About Wildwood Emergency Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILDWOOD EMERGENCY GROUP, LLC (NPI 1013409721) is a healthcare organization registered as an emergency medicine in Blacksburg, Virginia and active in the NPI registry since May 2018. The organization maintains a secondary practice location in Christiansburg and lists Lisha C Falk, Vp Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1013409721
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameWILDWOOD EMERGENCY GROUP, LLC
Location Address3700 S MAIN STBlacksburg, VA 24060-7017
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Organization SubpartNo
Authorized OfficialLisha C FalkVp Of Contracting · (337) 609-1221
Enumeration DateMay 30, 2018
Last NPPES UpdateOctober 4, 20242 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
✔ NPI 1013409721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3700 S MAIN ST, Blacksburg, VA 24060

Secondary Practice Location 1

Location 11145 W Main StChristiansburg, VA 24073-4221 · Phone (540) 251-8900 · Fax (540) 251-8901

Other Identifiers 1

Medicaid1013409721VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wildwood Emergency Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

84

Medicare enrollment records show 84 clinicians reassign Medicare billing to Wildwood Emergency Group, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Emergency Medicine63
Nurse Practitioner14
General Practice2
Internal Medicine2
Osteopathic Manipulative Medicine2
Sports Medicine1

Nearest to this location (20)

See all 84
Emergency Medicine
NPI 1093743817
3700 S MAIN ST
Blacksburg, VA 24060
(540) 951-1111
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265075642
3700 S MAIN ST
Blacksburg, VA 24060
(540) 951-1111
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619641891
3700 S MAIN ST
Blacksburg, VA 24060
(540) 951-1111
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760853477
3700 S MAIN ST
Blacksburg, VA 24060
(540) 381-1279
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1740226240
3700 S MAIN ST
Blacksburg, VA 24060
(540) 951-1111
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053407817
3700 SOUTH MAIN STREET
Blacksburg, VA 24060
(540) 953-5385
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1144258419
3700 S MAIN ST
Blacksburg, VA 24060
(540) 951-1111
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1922173327
3700 S MAIN ST
Blacksburg, VA 24060
(540) 951-1111
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1346408150
3700 S MAIN ST LEWIS GALE MONTGOMERY EMERGENCY
Blacksburg, VA 24060
(540) 953-5122
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1821222688
3700 S MAIN ST
Blacksburg, VA 24060
(540) 953-5122
✔ PECOS0.1 mi
Sports Medicine
NPI 1306412747
1691 INNOVATION DR STE 2100
Blacksburg, VA 24060
(540) 232-8405
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1386294239
215 GILBERT ST
Blacksburg, VA 24060
(540) 961-8040
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1275045197
2900 LAMB CIR
Christiansburg, VA 24073
(540) 731-2000
✔ PECOS✔ Accepts Medicare8.5 mi
Emergency Medicine
NPI 1063437440
2900 LAMB CIR
Christiansburg, VA 24073
(540) 731-2866
✔ PECOS✔ Accepts Medicare8.5 mi
Nurse Practitioner
NPI 1669820684
159 HARTLEY WAY
Pearisburg, VA 24134
(540) 921-6000
✔ PECOS✔ Accepts Medicare19 mi
Emergency Medicine
NPI 1194742643
2400 LEE HWY N
Pulaski, VA 24301
(540) 994-8100
✔ PECOS✔ Accepts Medicare21 mi
Emergency Medicine
NPI 1255652723
2400 LEE HWY N
Pulaski, VA 24301
(540) 994-8100
✔ PECOS✔ Accepts Medicare21 mi
Osteopathic Manipulative Medicine
NPI 1124640461
1900 ELECTRIC RD
Salem, VA 24153
(540) 776-4000
✔ PECOS✔ Accepts Medicare22 mi
General Practice
NPI 1235879677
1900 ELECTRIC RD
Salem, VA 24153
(703) 498-9921
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1790135283
1900 ELECTRIC RD
Salem, VA 24153
(540) 776-4000
✔ PECOS✔ Accepts Medicare22 mi
See all 84 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wildwood Emergency Group, LLC's NPI number?

The NPI number for Wildwood Emergency Group, LLC is 1013409721. It was assigned to this organization in the NPPES registry on May 30, 2018.

Where is Wildwood Emergency Group, LLC located?

Wildwood Emergency Group, LLC is located at 3700 S Main St, Blacksburg, VA 24060. The listed phone number is (540) 951-1111.

What is Wildwood Emergency Group, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Wildwood Emergency Group, LLC enrolled in Medicare?

Yes. Wildwood Emergency Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wildwood Emergency Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 84 clinicians in 6 Medicare specialties reassign their Medicare billing to Wildwood Emergency Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (63), Nurse Practitioner (14) and General Practice (2). Of these, 5 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wildwood Emergency Group, LLC was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.