MRS. EMILY WALLACE BRANTLEY NP
NPI 1366100802
Nurse Practitioner - Family in Williamsburg, VA

Active since December 01, 2021PECOS EnrolledAccepts Medicare Assignment
4374 NEW TOWN AVE STE 200, WILLIAMSBURG, VA 23188(757) 984-6110 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Emily Wallace Brantley Np NPPES

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

MRS. EMILY WALLACE BRANTLEY NP (NPI 1366100802) is an individual family provider in Williamsburg, Virginia, licensed in Virginia (0024188752) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Sentara Williamsburg Regional Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1366100802
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. EMILY WALLACE BRANTLEYCredential: NP
Location Address4374 NEW TOWN AVE STE 200Williamsburg, VA 23188-2865
Mailing Address4374 New Town Ave Ste 200Williamsburg, VA 23188-2865 · (757) 984-6110
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 1, 2021
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
NPI 1366100802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VA · 0024188752
Also ListedRegistered NurseTaxonomy 163W00000X · License 0001270316 (VA)
4374 NEW TOWN AVE STE 200, Williamsburg, VA 23188

Other Names 1

Former Name (1)Ms. Emily Clark Wallace Rn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Emily Wallace Brantley Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183061781
PECOS Enrollment IDI20240319000617
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490066
Location100 Sentara CircleWilliamsburg, VA 23188 · James City County
Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23188 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 8

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

Nurse Practitioner (Family)
4374 NEW TOWN AVE STE 200
WILLIAMSBURG, VA 23188
Family Medicine
4374 NEW TOWN AVE STE 200
WILLIAMSBURG, VA 23188
Nurse Practitioner (Family)
4374 NEW TOWN AVE STE 200
WILLIAMSBURG, VA 23188
Nurse Practitioner (Family)
4374 NEW TOWN AVE STE 200
WILLIAMSBURG, VA 23188
Nurse Practitioner (Family)
4374 NEW TOWN AVE STE 200
WILLIAMSBURG, VA 23188
Family Medicine
4374 NEW TOWN AVE STE 200
WILLIAMSBURG, VA 23188
Nurse Practitioner (Family)
4374 NEW TOWN AVE STE 200
WILLIAMSBURG, VA 23188
Nurse Practitioner (Family)
4374 NEW TOWN AVE STE 200
WILLIAMSBURG, VA 23188

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366100802, enumerated as an "individual" on December 01, 2021.

The provider is located at 4374 NEW TOWN AVE STE 200 WILLIAMSBURG, VA 23188 and the phone number is (757) 984-6110.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Emily Brantley is affiliated with: SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER and SENTARA CAREPLEX HOSPITAL.