WILDWOOD PHYSICIAN SERVICES, LLC
NPI 1629560917
Emergency Medicine in Blacksburg, VA
About Wildwood Physician Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILDWOOD PHYSICIAN SERVICES, LLC (NPI 1629560917) is a healthcare organization registered as an emergency medicine in Blacksburg, Virginia and active in the NPI registry since June 2018. The organization lists Lisha C Falk, Vp Of Contracting, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Group Practice 1
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 Physician Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
66Medicare enrollment records show 66 clinicians reassign Medicare billing to Wildwood Physician Services, LLC, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 66Blacksburg, VA 24060
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 Physician Services, LLC's NPI number?
The NPI number for Wildwood Physician Services, LLC is 1629560917. It was assigned to this organization in the NPPES registry on June 1, 2018.
Where is Wildwood Physician Services, LLC located?
Wildwood Physician Services, LLC is located at 3700 S Main St, Blacksburg, VA 24060. The listed phone number is (540) 951-1111.
What is Wildwood Physician Services, LLC's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Wildwood Physician Services, LLC enrolled in Medicare?
Yes. Wildwood Physician Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wildwood Physician Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 66 clinicians in 7 Medicare specialties reassign their Medicare billing to Wildwood Physician Services, 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 Internal Medicine (32), Nurse Practitioner (19) and Family Practice (6). Of these, 15 practice at this address and 19 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 Physician Services, LLC was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Wildwood Physician Services, Llc · NPI 1629560917
Emergency Medicine organization in Blacksburg, Virginia. Organization record, active in the CMS NPPES registry since June 1, 2018.
## Identity
- **NPI:** 1629560917 (Entity type: Organization)
- **Enumerated:** June 1, 2018
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Lisha Falk, VP OF CONTRACTING
## Practice location
- **Address:** 3700 S MAIN ST, Blacksburg, VA 24060-7017
- **Phone:** (540) 951-1111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 66 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (32), Nurse Practitioner (19), Family Practice (6); 15 practice at this address and 19 within 10 miles; [full list](https://npiprofile.com/npi/1629560917/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 23, 2022
- **Other identifiers:** Medicaid I097 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1629560917) · Data from the CMS NPPES public registry.