ASHLEY SHULL WILSON
NPI 1407631435
Nurse Practitioner - Family in Farmville, VA

Q: What is Ashley Wilson's NPI number?

The NPI number for Ashley Wilson is 1407631435. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Q: What is Ashley Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ashley Wilson was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 28, 2023PECOS EnrolledAccepts Medicare Assignment

833 BUFFALO ST STE 200, FARMVILLE, VA 23901(434) 392-8177 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2025, Aug 28, 2023 (2 updates tracked since 2023).

On this page

About Ashley Shull Wilson NPPES

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

ASHLEY SHULL WILSON (NPI 1407631435) is an individual family provider in Farmville, Virginia, licensed in Virginia (0024187957) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and maintains a secondary practice location in Chesterfield.

NPPES Registry Identity

NPI1407631435

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameASHLEY SHULL WILSON

Location Address833 BUFFALO ST STE 200Farmville, VA 23901-1111

Mailing Address2105 Cottage RdBlackstone, VA 23824-3447 · (540) 292-5693

Phone(434) 392-8177

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 28, 2023

Last NPPES UpdateApril 8, 20252 updates tracked since enumeration

NPPES CertifiedApril 8, 2025

✔ NPI 1407631435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024187957

833 BUFFALO ST STE 200, Farmville, VA 23901

Open in Google Maps ↗

Secondary Practice Location 1

Location 114426 Hull Street RdChesterfield, VA 23832-2525 · Phone (804) 887-8322

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashley Shull Wilson 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 ID2668828468

PECOS Enrollment IDI20231031002013

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 Reassignments

Medicare enrollment records show Ashley Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Virginia Health Services Inc

Same address

Federally Qualified Health Center (FQHC)

833 BUFFALO STREET, SUITE 200
Farmville, VA 23901

Reassigned Medicare billing, Virginia enrollment
129 clinicians in this Medicare group

NPI 1215066782 (434) 392-8177

Bon Secours Urgent Care LLC

58 mi

Urgent Care

9851 BROOK RD
Glen Allen, VA 23059

Reassigned Medicare billing, Virginia enrollment
144 clinicians in this Medicare group

NPI 1265160501 (804) 893-8702

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

Hospital Affiliations CMS Care Compare

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

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number490059

Location5801 Bremo RdRichmond, VA 23226 · Richmond City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23901 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 7

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

MELISSA LYNN JAMERSON MSN, APRN, FNP-C

Nurse Practitioner (Primary Care)