Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANDREW WILMOT PMHNP-BC
NPI 1063381895
Nurse Practitioner - Psychiatric/Mental Health in Fairfax, VA

Active since October 31, 2025PECOS Enrolled
9900 MAIN ST, FAIRFAX, VA 22031(703) 565-1100 Get Directions Write a Review

NPPES record last updated: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Andrew Wilmot Pmhnp-bc NPPES

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

ANDREW WILMOT PMHNP-BC (NPI 1063381895) is an individual psychiatric/mental health provider in Fairfax, Virginia, licensed in Virginia (2025066479) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1063381895
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameANDREW WILMOTCredential: PMHNP-BC
Location Address9900 MAIN STFairfax, VA 22031-3907
Mailing Address9089 Purvis DrLorton, VA 22079-2949
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 31, 2025
Last NPPES UpdateNovember 5, 2026
NPPES CertifiedNovember 5, 2026
✔ NPI 1063381895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 2025066479
9900 MAIN ST, Fairfax, VA 22031

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Wilmot Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961980289
PECOS Enrollment IDI20260128004245, I20260213000314
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Andrew Wilmot reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
10701 MAIN ST
Fairfax, VA 22030
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 3 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
9900 MAIN ST, SUITE 200
FAIRFAX, VA 22031
Physical Therapist
9900 MAIN ST, SUITE 200A
FAIRFAX, VA 22031
Physical Therapist
9900 MAIN ST
FAIRFAX, VA 22031
Physical Therapist
9900 MAIN ST
FAIRFAX, VA 22031
Physical Therapy Assistant
9900 MAIN ST
FAIRFAX, VA 22031

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 Andrew Wilmot's NPI number?

The NPI number for Andrew Wilmot is 1063381895. It was assigned to this individual provider in the NPPES registry on October 31, 2025.

Where is Andrew Wilmot located?

Andrew Wilmot practices at 9900 Main St, Fairfax, VA 22031. The listed phone number is (703) 565-1100.

What is Andrew Wilmot's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Andrew Wilmot enrolled in Medicare?

Yes. Andrew Wilmot is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrew Wilmot's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Wilmot reassigns Medicare benefits to Mediwounds International Inc (Fairfax, VA). The 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 Andrew Wilmot's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrew Wilmot was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.