JUSTIN T WILSON
NPI 1750144275
Nurse Practitioner - Family in Ruther Glen, VA

Active since February 06, 2024PECOS EnrolledAccepts Medicare Assignment
8051 PROSPERITY WAY STE 100, RUTHER GLEN, VA 22546(804) 448-0198 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2025, Feb 6, 2024 (2 updates tracked since 2024).

About Justin T Wilson NPPES

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

JUSTIN T WILSON (NPI 1750144275) is an individual family provider in Ruther Glen, Virginia, licensed in Virginia (0024193809) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1750144275
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJUSTIN T WILSON
Location Address8051 PROSPERITY WAY STE 100Ruther Glen, VA 22546-5812
Mailing Address10209 Indiantown RdKing George, VA 22485-3539 · (540) 421-6688
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 6, 2024
Last NPPES UpdateJune 19, 20252 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
NPI 1750144275 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 · 0024193809
Also ListedRegistered NurseTaxonomy 163W00000X · License 0024193809 (VA)
8051 PROSPERITY WAY STE 100, Ruther Glen, VA 22546

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

Justin T 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 ID8628571205
PECOS Enrollment IDI20250910002844
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

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

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22546 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

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

Internal Medicine
8051 PROSPERITY WAY STE 100
RUTHER GLEN, VA 22546

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 Justin Wilson's NPI number?

The NPI number for Justin Wilson is 1750144275. It was assigned to this individual provider in the NPPES registry on February 6, 2024.

Where is Justin Wilson located?

Justin Wilson practices at 8051 Prosperity Way Ste 100, Ruther Glen, VA 22546. The listed phone number is (804) 448-0198.

What is Justin Wilson's specialty?

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

Is Justin Wilson enrolled in Medicare?

Yes. Justin Wilson 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.

Is Justin Wilson affiliated with any hospitals?

According to CMS data, Justin Wilson is affiliated with Mary Washington Hospital.

When was this NPI record last updated?

The NPPES record for Justin Wilson was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.