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

Isabella Winemiller

Individual provider Trauma Surgery Physician · NPI 1013645167

Isabella Winemiller is a Physician Assistant in Suffolk, Virginia. Qualified in 2022, 4 years ago. Practices with Observation Physicians of Tidewater, a 19-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1013 University Blvd Ste 270
Suffolk, VA 23435-3900
Phone: (757) 335-4755
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 0110-008729 (VA)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 0110-008729 (VA)

Record details

NPI number1013645167
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2022
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024
Mailing address1013 University Blvd Ste 270, Suffolk, VA 23435-3900

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Observation Physicians Of Tidewater — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare