MR. ANTHONY WILKERSON (NP) – Family Nurse Practitioner, NPI 1619370087

MR. ANTHONY WILKERSON (NP) is a healthcare provider. based in South boston, Virginia. specializing in Family Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 0024172092 (VA). The NPI Number for MR. ANTHONY WILKERSON (NP) is 1619370087

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. ANTHONY WILKERSON (NP)
NPI
1619370087
Phone
(434) 579-0935
Address
1060 CARRIAGE END WAY
Enumeration Date
30 September 2014
Last Update Date
15 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4343745344
Graduation Year
2014 (12 years ago)
PAC ID
5193047876
Group Practice PAC ID
1254311558
Professional Enrollment ID
I20141208001948
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for MR. ANTHONY WILKERSON (NP)

  • 1060 CARRIAGE END WAY

    SOUTH BOSTON, VA 245926521

    Phone: (434) 579-0935

    Fax: (434) 572-2510

    Type: Mailing

  • 2232 WILBORN AVE

    SUITE A

    SOUTH BOSTON, VA 245921662

    Phone: (434) 517-3355

    Fax: (434) 572-2510

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $64.

Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.

Last reported payment date: 2024-08-05 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($43).

Total Amount

$64

General + Research + Ownership

Payments

3

Total payment records

General Amount

$64

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (891 days ago).

Enrollment records

1

Earliest due date

2023-12-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141208001948INurse PractitionerVA2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24592)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254311558View full group profile
NameSpecialtyState
Nurse PractitionerVA
General SurgeryVA
Sports Medicine, Orthopedic SurgeryVA
Orthopedic SurgeryVA
Nurse PractitionerVA
Diagnostic RadiologyVA
General SurgeryVA
-VA
-VA
Diagnostic RadiologyVA

Reviews

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Frequently asked questions

Does MR. ANTHONY WILKERSON (NP) have a public NPI I can cite?
Public records show MR. ANTHONY WILKERSON (NP) under NPI 1619370087.
Is MR. ANTHONY WILKERSON (NP)'s NPI status active today?
Active status means MR. ANTHONY WILKERSON (NP)'s NPI record is not deactivated in the public file.
What does the directory say MR. ANTHONY WILKERSON (NP) does?
Insurance directories may phrase it differently, but here MR. ANTHONY WILKERSON (NP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. ANTHONY WILKERSON (NP)?
MR. ANTHONY WILKERSON (NP) is associated with South Boston, Virginia in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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