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MISS WANDA ALTHEA WILBURN M.D.
NPI 1639245806
Obstetrics & Gynecology - Obstetrics in Apple Valley, CA

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment
16000 APPLE VALLEY RD, SUITE C-3, APPLE VALLEY, CA 92307(760) 946-3806(760) 946-3809 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Miss Wanda Althea Wilburn M.d. NPPES

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

MISS WANDA ALTHEA WILBURN M.D. (NPI 1639245806) is an individual obstetrics provider in Apple Valley, California, licensed in California (A84253) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (1994).

NPPES Registry Identity

NPI1639245806
Entity TypeIndividualFemale
Primary Taxonomy207VX0000X
Provider Legal NameMISS WANDA ALTHEA WILBURNCredential: M.D.
Location Address16000 APPLE VALLEY RD, SUITE C-3Apple Valley, CA 92307-7814
Mailing Address19050 Lenca RdApple Valley, CA 92307-4709 · (760) 242-4406
Phone(760) 946-3806
Fax(760) 946-3809
Sole ProprietorYes
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1994
Enumeration DateNovember 28, 2006
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 19, 2024
✔ NPI 1639245806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in CA · A84253
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
16000 APPLE VALLEY RD, Apple Valley, CA 92307
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A842530CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Miss Wanda Althea Wilburn M.d. 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 ID941287387
PECOS Enrollment IDI20040706000313
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

2

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

Barstow Primary Care Clinic
28 mi
Internal Medicine
805 MOUNTAIN VIEW
Barstow, CA 92311
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group
NPI 1871904656 (760) 256-7161
Chino Medical Group, Inc
43 mi
Health Maintenance Organization
5475 WALNUT AVE
Chino, CA 91710
  • Reassigned Medicare billing, California enrollment
  • 12 clinicians in this Medicare group
NPI 1790730786 (909) 591-6446

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 92307 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Wanda Wilburn's NPI number?

The NPI number for Wanda Wilburn is 1639245806. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Wanda Wilburn located?

Wanda Wilburn practices at 16000 Apple Valley Rd Suite C-3, Apple Valley, CA 92307. The listed phone number is (760) 946-3806.

What is Wanda Wilburn's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Wanda Wilburn enrolled in Medicare?

Yes. Wanda Wilburn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Wanda Wilburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wanda Wilburn reassigns Medicare benefits to 2 organizations: Barstow Primary Care Clinic (Barstow, CA) and Chino Medical Group, Inc (Chino, CA). Each 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 Wanda Wilburn'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 Wanda Wilburn was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.