WANDER EVERETT – Acute Care Nurse Practitioner, NPI 1659060382

WANDER EVERETT is a healthcare provider. based in Henrico, Virginia. specializing in NURSE PRACTITIONER. They hold a License No. 0001251326 (VA). The NPI Number for WANDER EVERETT is 1659060382

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
WANDER EVERETT
NPI
1659060382
Phone
(804) 839-8830
Address
1722 FOXFIRE CIR
Enumeration Date
8 May 2023
Last Update Date
8 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8047146291
Graduation Year
2021 (5 years ago)
PAC ID
0345784062
Group Practice PAC ID
4789026071
Professional Enrollment ID
I20240704000119
Address ID
VA230595783GL5310XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for WANDER EVERETT

  • 1722 FOXFIRE CIR

    HENRICO, VA 232384212

    Phone: (804) 839-8830

    Mailing address matches the actual address.

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 $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($36).

Total Amount

$61

General + Research + Ownership

Payments

3

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

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: 2024-07-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
I20240704000119INurse PractitionerVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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 23238)

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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: 4789026071View full group profile
NameSpecialtyState
Nurse PractitionerMD
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Internal MedicineVA
Family PracticeVA

Reviews

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Frequently asked questions

How do I look up WANDER EVERETT by NPI?
Use NPI 1659060382 when you need to reference WANDER EVERETT in forms, claims, or directories.
Is WANDER EVERETT's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does WANDER EVERETT treat or focus on?
Patients typically see WANDER EVERETT under the specialty Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does WANDER EVERETT practice in Virginia?
You will see Henrico, Virginia on file for WANDER EVERETT alongside any extra practice locations.
Is WANDER EVERETT a real provider?
This page reflects official NPPES data for NPI 1659060382. Always confirm identity and privileges with the practice and licensing boards.

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