Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dianna Elizabeth Wine, PA-C

Individual provider Physician Assistant · NPI 1609155977

Dianna Elizabeth Wine, PA-C is a Physician Assistant in Midlothian, Virginia. Qualified in 2010, 16 years ago. Practices with Bon Secours Urgent Care LLC, a 122-clinician group and accepts Medicare assignment. Licensed in New Jersey, Pennsylvania and Virginia.

Years since qualifying
16
Licensed in
NJ, PA, VA
In the registry since
2011
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

14163 Midlothian Tpke
Midlothian, VA 23113-6523
Phone: (804) 893-8702
Fax: (804) 767-5755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110008014 (VA)
Physician Assistant Taxonomy 363A00000X · Licence MA055676 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00257500 (NJ)

Record details

NPI number1609155977
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 4, 2011
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Bon Secours Urgent Care Llc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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