Active NPI
Sylvia Wages, APRN
- Family Nurse Practitioner
- Fort Walton Beach, FL
National Provider Identifier
1013608330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11025383
- Practice address
- 930 Mar Walt Drive
Unit C
Fort Walton Beach, FL 32547-6706 - Phone
- (850) 226-6801
- Fax
- (877) 413-5104
- NPI assigned
- May 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11025383 | FL | Primary |
Addresses
Primary practice location
930 Mar Walt Drive
Unit C
Fort Walton Beach, FL 32547-6706
Mailing address
930 Mar Walt Drive
Unit C
Fort Walton Beach, FL 32547-6706
Phone (850) 226-6801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
849 S Three Notch St
Andalusia, AL 36420-5325
Phone (334) 222-8466
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11025383 | FL | MD | Family Nurse Practitioner |
Interoperability endpoints
- sylvia.wages@2498.securemail.prognocis.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Andalusia, AL
- NPI 1437202009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1013608330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 MAR WALT DRIVE",
"address_2": "UNIT C",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476706",
"telephone_number": "850-226-6801",
"fax_number": "877-413-5104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 MAR WALT DRIVE",
"address_2": "UNIT C",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476706",
"telephone_number": "850-226-6801",
"fax_number": "877-413-5104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGES",
"first_name": "SYLVIA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-17",
"last_updated": "2023-05-17",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11025383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.