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Active NPI 1740915289 Individual Practitioner Female Practitioner

Mary Wildner , PA-C, MPH

Physician Assistant • Vienna, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mary Wildner, PA-C, MPH is a certified Physician Assistant practicing in Vienna, VA. With approximately 4 years of clinical experience since completing medical education in 2022, Mary Wildner delivers high-quality medical care to the local community at 2110 GALLOWS RD STE D.

Mary Wildner is affiliated with Psych Associates Of Maryland Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2110 Gallows Rd Ste D

Vienna, VA 221823962

Telephone 7035924600
Associated Practice Facility / Clinic
🏢 Harish Goyal Md Pc, Inc. Facility NPI 1255972311

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Vienna, VA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -6.6 yrs vs City Avg
City Avg: 10.6 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
24 Specialists

Practicing in Vienna, VA (4432 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wildner (4 Years) 4 Yrs
Vienna Specialty Average (10.6 Years) 10.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-10-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110008752

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.

Hospital & Practice Group Affiliations

Psych Associates Of Maryland Llc

4520 E W Hwy, Bethesda, MD 208140066

Phone: 4108236408

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Sarah Roberts , MSW

Social Worker - Clinical

NPI 1003683251

Master of Social Work

Faith Watson

Social Worker - Clinical

NPI 1114601200
Dr. Shaveta Goyal , MD

Family Medicine

NPI 1215248109

Doctor of Medicine (M.D.)

Vaughn Omps , MSW

Social Worker

NPI 1467137760

Master of Social Work

Dr. Frederick Wu , MD

Psychiatry & Neurology - Psychiatry

NPI 1538196126

Doctor of Medicine (M.D.)

Sarah Vanthompson , LCSW

Social Worker - Clinical

NPI 1720805625

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 27, 2022

Registered at 2110 GALLOWS RD STE D, VIENNA, VA 221823962 (Tel: 7035924600)

📍
Updated Business Mailing Address October 27, 2022

Registered at 2110 GALLOWS RD STE D, VIENNA, VA 221823962

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2022

Physician Assistant (License #0110008752 in VA)

NPI Profile Active July 19, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2022

Registered at 100 NICHOLSON ST NW, WASHINGTON, DC 200112316 (Tel: 4044345860)

📍
Updated Business Mailing Address July 19, 2022

Registered at 100 NICHOLSON ST NW, WASHINGTON, DC 200112316

👤
Provider Name / Credentials Updated July 19, 2022

Recorded as MARY WILDNER, PA-C, MPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2022

Physician Assistant

🟢
Initial NPI Registration & Enumeration July 19, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740915289
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2022
Last Update: October 27, 2022
Sole Proprietor: No

Mailing Address

2110 Gallows Rd Ste D

Vienna, VA 221823962

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.