UPPER MATTAPONI INDIAN TRIBE
NPI 1750969168
Clinic/Center - Primary Care in Aylett, VA

Active since March 30, 2021
7864 RICHMOND TAPPAHANNOCK HWY, AYLETT, VA 23009(804) 769-2015 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 13, 2026, May 30, 2025, Nov 17, 2023 and 2 more (5 updates tracked since 2021).

About Upper Mattaponi Indian Tribe NPPES

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

UPPER MATTAPONI INDIAN TRIBE (NPI 1750969168), doing business as Aylett Family Wellness, is a healthcare organization registered as a primary care in Aylett, Virginia and active in the NPI registry since March 2021. The organization lists Steven Family Tupponce, Director, as its authorized official.

NPPES Registry Identity

NPI1750969168
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameUPPER MATTAPONI INDIAN TRIBE
Location Address7864 RICHMOND TAPPAHANNOCK HWYAylett, VA 23009-3056
Mailing Address13476 King William RdKing William, VA 23086-3401 · (804) 769-0041
Organization SubpartNo
Authorized OfficialSteven Family TupponceDirector · (804) 347-4109
Enumeration DateMarch 30, 2021
Last NPPES UpdateMay 13, 20265 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1750969168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
7864 RICHMOND TAPPAHANNOCK HWY, Aylett, VA 23009

Other Names 1

Doing Business AsAylett Family Wellness

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Upper Mattaponi Indian Tribe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Upper Mattaponi Indian Tribe, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1669955019
7864 RICHMOND TAPPAHANNOCK HWY
Aylett, VA 23009
(804) 769-2015
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1043897689
7864 RICHMOND TAPPAHANNOCK HWY
Aylett, VA 23009
(804) 769-2015
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598450678
7864 RICHMOND TAPPAHANNOCK HWY
Aylett, VA 23009
(804) 769-2015
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1174664429
7864 RICHMOND TAPPAHANNOCK HWY
Aylett, VA 23009
(804) 535-0145
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1578651089
7864 RICHMOND TAPPAHANNOCK HWY
Aylett, VA 23009
(804) 535-0145
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1316697980
8014 RICHMOND TAPPAHANNOCK HWY
Aylett, VA 23009
(804) 769-2919
✔ PECOS0.2 mi

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 Upper Mattaponi Indian Tribe's NPI number?

The NPI number for Upper Mattaponi Indian Tribe is 1750969168. It was assigned to this organization in the NPPES registry on March 30, 2021. The provider is doing business as Aylett Family Wellness.

Where is Upper Mattaponi Indian Tribe located?

Upper Mattaponi Indian Tribe is located at 7864 Richmond Tappahannock Hwy, Aylett, VA 23009. The listed phone number is (804) 769-2015.

What is Upper Mattaponi Indian Tribe's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Upper Mattaponi Indian Tribe enrolled in Medicare?

Yes. Upper Mattaponi Indian Tribe is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Upper Mattaponi Indian Tribe?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Upper Mattaponi Indian Tribe, in Dentist, General Practice, Mental Health Counselor, Nurse Practitioner and Pediatric Medicine. 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. Of these, 5 practice at this address and 6 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 Upper Mattaponi Indian Tribe was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.