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MARY WILDNER PA-C, MPH
NPI 1740915289
Physician Assistant in Vienna, VA

Active since July 19, 2022PECOS EnrolledAccepts Medicare Assignment
2110 GALLOWS RD STE D, VIENNA, VA 22182(703) 592-4600 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 27, 2022, Jul 19, 2022 (2 updates tracked since 2022).

About Mary Wildner Pa-c, Mph NPPES

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

MARY WILDNER PA-C, MPH (NPI 1740915289) is an individual physician assistant in Vienna, Virginia, licensed in Virginia (0110008752) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1740915289
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY WILDNERCredential: PA-C, MPH
Location Address2110 GALLOWS RD STE DVienna, VA 22182-3962
Mailing Address2110 Gallows Rd Ste DVienna, VA 22182-3962
Phone(703) 592-4600
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 19, 2022
Last NPPES UpdateOctober 27, 20222 updates tracked since enumeration
NPPES CertifiedOctober 27, 2022
✔ NPI 1740915289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110008752
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2110 GALLOWS RD STE D, Vienna, VA 22182
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Accepted Insurance

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

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

Mary Wildner Pa-c, Mph 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 ID4183090566
PECOS Enrollment IDI20221027000064
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22182 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

Other Providers at the Same Location NPPES 13

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

MISS SARAH ROBERTS MSW
Social Worker (Clinical)
2110 GALLOWS RD STE D
VIENNA, VA 22182
Fairfax County (703) 592-4600
PURPOSEFULL NUTRITION, LLC
Nutritionist
2110 GALLOWS RD STE D
VIENNA, VA 22182
Fairfax County (703) 350-6506
FAITH B WATSON
Social Worker (Clinical)
2110 GALLOWS RD STE D
VIENNA, VA 22182
Fairfax County (703) 592-4600
HARISH GOYAL MD PC, INC.
Psychiatry & Neurology (Psychiatry)
2110 GALLOWS RD STE D
VIENNA, VA 22182
Fairfax County (701) 200-4910
MS. ANN LOUISE DEVANEY M.S.W.
Social Worker (Clinical)
2110 GALLOWS RD STE D
VIENNA, VA 22182
Fairfax County (703) 356-4727
VAUGHN GALEN OMPS MSW
Social Worker
2110 GALLOWS RD STE D
VIENNA, VA 22182
Fairfax County (703) 592-4600
DR. FREDERICK Y. WU M.D.
Psychiatry & Neurology (Psychiatry)
2110 GALLOWS RD STE D
VIENNA, VA 22182
Fairfax County (703) 592-4600
HARISH GOYAL M.D.
Psychiatry & Neurology (Psychiatry)
2110 GALLOWS RD STE D
VIENNA, VA 22182
Fairfax County (701) 200-4910

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 Mary Wildner's NPI number?

The NPI number for Mary Wildner is 1740915289. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is Mary Wildner located?

Mary Wildner practices at 2110 Gallows Rd Ste D, Vienna, VA 22182. The listed phone number is (703) 592-4600.

What is Mary Wildner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Wildner enrolled in Medicare?

Yes. Mary Wildner 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.

What insurance does Mary Wildner accept?

Health plans from Providence Health Plan list Mary Wildner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Wildner was last updated on October 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.