Individual provider Active NPI

Carmen Denise Wesley, ARNP

  • Primary Care Nurse Practitioner
  • Aventura, FL
National Provider Identifier
1053838235
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
9226358 Issued in FL
Practice address
20950 NE 27TH CT Ste 200
Aventura, FL 33180-1232
Phone
(305) 466-0663
Fax
(305) 466-0663
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 9226358 FL Primary

Addresses

Primary practice location

20950 NE 27TH CT Ste 200
Aventura, FL 33180-1232

Mailing address

4336 SW 124TH Ter
Miramar, FL 33027-6011
Phone (305) 409-7166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230329003549 FL Practitioner - Nurse Practitioner 1557735701 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9226358FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beth and Howard Braver MD PA CurrentSince Mar 1, 2023 Accepting new patients

Locations

21097 NE 27th Ct
Ste 490
Aventura, FL 33180
Phone (305) 466-0663

3700 Washington St
Ste 200
Hollywood, FL 33021
Phone (954) 894-3003

20950 NE 27th Ct
Ste 200
Miami, FL 33180
Phone (305) 466-0663

Interoperability endpoints

  • Direct secure messaging: cwesley299717@mhsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1053838235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4336 SW 124TH TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276011",
            "telephone_number": "305-409-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20950 NE 27TH CT STE 200",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801232",
            "telephone_number": "305-466-0663",
            "fax_number": "305-466-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "CARMEN",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9226358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.