Individual provider Active NPI

Ronald Michael Wendt, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Palatka, FL
National Provider Identifier
1063922656
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9295443 Issued in FL
Practice address
3703 Crill Ave
Palatka, FL 32177
Phone
(386) 866-9100
Fax
(386) 866-1900
NPI assigned
Oct 9, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X ARNP9295443 FL Primary

Addresses

Primary practice location

3703 Crill Ave
Palatka, FL 32177

Mailing address

3703 Crill Ave
Palatka, FL 32177-9168
Phone (386) 866-9100

Other practice location 1

326 Zeagler Dr
Palatka, FL 32177-3817
Phone (386) 329-9458

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
I20171221000539 FL Practitioner - Nurse Practitioner 8123386133 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9295443FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Idr Med Florida LLC Multi-Specialty CurrentSince Dec 10, 2021 Accepting new patients
Melvin M. Seek, MD, PA Multi-Specialty CurrentSince Oct 18, 2017 Accepting new patients
Tampa General Hospital Current Accepting new patients
West Marion Family Practice PA Multi-Specialty PastSince Sep 15, 2017 Accepting new patients

Locations

11223 N Williams St
Ste N
Dunnellon, FL 34432
Phone (352) 489-2060

4960 Newberry Rd
Gainesville, FL 32607
Phone (352) 283-8369

2228 NW 40th Ter
Ste B
Gainesville, FL 32605
Phone 3526224231249

4960 Newberry Rd
Ste 3
Gainesville, FL 32607

155 NW Enterprise Way
Ste B
Lake City, FL 32055

2760 SE 17th St
Bldg 400
Ocala, FL 34471
Phone (352) 236-6806

3703 Crill Ave
Palatka, FL 32177
Phone (386) 866-9100

511 W Towles Ave
Ste 3
Palatka, FL 32177
Phone (386) 866-9100

326 Zeagler Dr
Palatka, FL 32177
Phone (386) 329-9458

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: rwendt296692@direct.tgh.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1063922656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 CRILL AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321779168",
            "telephone_number": "386-866-9100",
            "fax_number": "386-866-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 CRILL AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "32177",
            "telephone_number": "386-866-9100",
            "fax_number": "386-866-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 Zeagler Dr",
            "address_purpose": "LOCATION",
            "city": "Palatka",
            "state": "FL",
            "postal_code": "321773817",
            "country_code": "US",
            "telephone_number": "386-329-9458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENDT",
        "first_name": "RONALD",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "ARNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-09",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9295443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

Verify at the official NPI Registry.