Active NPI
Gwen E. Erkonen, M.D.
- Pediatric Critical Care Medicine Physician
- Miami, FL
National Provider Identifier
1033328968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- ME146385
- Practice address
- 3100 SW 62ND Ave
Miami, FL 33155-3009 - Phone
- (305) 666-6511
- NPI assigned
- May 21, 2007
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R-7306 | IA | |
| Pediatrics Physician | 208000000X | 37801 | IA | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 37801 | IA | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | ME146385 | FL | Primary |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 036-125175 | IL | |
| Pediatrics Physician | 208000000X | 2026-00196 | NC | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 2026-00196 | NC |
Addresses
Primary practice location
3100 SW 62ND Ave
Miami, FL 33155-3009
Mailing address
3100 SW 62ND Ave
Miami, FL 33155-1009
Phone (305) 666-6511
Other practice location 1
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-5590
Other practice location 2
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036125175 | Medicaid | IL |
Other names 1
- Gwen E Wells
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 40908
Fayetteville, NC 28309
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37801 | IA | MD | Pediatrics Physician |
| R-7306 | IA | MD | Pediatrics Physician |
| ME146385 | FL | MD | Pediatric Critical Care Medicine Physician |
| 2026-00196 | NC | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland County Hospital System Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Oncology Services
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1881946242
-
dba CFV-Harnett Hospitalist Group
- Hospitalist Physician
- Dunn, NC
- NPI 1124426804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1033328968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SW 62ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331551009",
"telephone_number": "305-666-6511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SW 62ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331553009",
"telephone_number": "305-666-6511"
}
],
"practiceLocations": [
{
"address_1": "1638 Owen Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283043424",
"country_code": "US",
"telephone_number": "910-615-5590",
"fax_number": "910-615-7298",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Hawkins Dr",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-356-1616",
"fax_number": "319-384-6004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERKONEN",
"first_name": "GWEN",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "R-7306",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "37801",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "IA",
"license": "37801",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "FL",
"license": "ME146385",
"primary": true
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "IL",
"license": "036-125175",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2026-00196",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NC",
"license": "2026-00196",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036125175",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GWEN",
"last_name": "WELLS",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.