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JESSE ALEXANDER WINGATE M.S.
NPI 1184276974
Psychologist - Clinical in Eastville, VA

Active since July 11, 2019Opted out of Medicare · through Apr 1, 2028
17068 LANKFORD HIGHWAY, EASTVILLE, VA 23347(757) 331-1086 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 25, 2024, Jul 17, 2023, Dec 10, 2020 and 1 more (4 updates tracked since 2019).

About Jesse Alexander Wingate M.s. NPPES

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

JESSE ALEXANDER WINGATE M.S. (NPI 1184276974) is an individual clinical provider in Eastville, Virginia, licensed in Virginia (0810007314) and active in the NPI registry since July 2019. He has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1184276974
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJESSE ALEXANDER WINGATECredential: M.S.
Location Address17068 LANKFORD HIGHWAYEastville, VA 23347-2334
Mailing Address17068 Lankford HighwayEastville, VA 23347 · (573) 311-0867
Phone(757) 331-1086
Sole ProprietorNo
Enumeration DateJuly 11, 2019
Last NPPES UpdateSeptember 25, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
✔ NPI 1184276974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810007314
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
17068 LANKFORD HIGHWAY, Eastville, VA 23347
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jesse Alexander Wingate M.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 19

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

SUZANNE E OMROD MSN, RN, ANP-BC
Nurse Practitioner (Adult Health)
17068 LANKFORD HIGHWAY
EASTVILLE, VA 23347
Northampton County (757) 331-1086
NANCY T HARGIS NP
Nurse Practitioner (Family)
17068 LANKFORD HIGHWAY
EASTVILLE, VA 23347
Northampton County (757) 331-1086
DAVID RIOPEL MD
Pediatrics
17068 LANKFORD HIGHWAY
EASTVILLE, VA 23347
Northampton County (757) 331-1086
MRS. JEANETTE M GRANT DNP, FNP-BC
Nurse Practitioner (Family)
17068 LANKFORD HIGHWAY
EASTVILLE, VA 23347
Northampton County (757) 414-0400
PAUL MORGAN STEVENSON PA-C
Family Medicine
17068 LANKFORD HIGHWAY
EASTVILLE, VA 23347
Northampton County (757) 414-0400
DR. EARNEST DEAN COALTER JR. DDS
Dentist (General Practice)
17068 LANKFORD HIGHWAY
EASTVILLE, VA 23347
Northampton County (757) 331-1086
MS. NICOLE FREDA WYNDER NCC,LPC, LMFT, LCMHC
Counselor (Professional)
17068 LANKFORD HIGHWAY
EASTVILLE, VA 23347
Northampton County (757) 331-1086
EASTERN SHORE RURAL HEALTH SYSTEM INCORPORATED
Pharmacy (Community/Retail Pharmacy)
17068 LANKFORD HIGHWAY
EASTVILLE, VA 23347
Northampton County (757) 414-0400

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 Jesse Wingate's NPI number?

The NPI number for Jesse Wingate is 1184276974. It was assigned to this individual provider in the NPPES registry on July 11, 2019.

Where is Jesse Wingate located?

Jesse Wingate practices at 17068 Lankford Highway, Eastville, VA 23347. The listed phone number is (757) 331-1086.

What is Jesse Wingate's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jesse Wingate enrolled in Medicare?

No. Jesse Wingate has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jesse Wingate was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.