Active NPI
Ronald Michael Wendt, ARNP, FNP-BC
- Family Nurse Practitioner
- Palatka, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9295443
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9295443 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idr Med Florida LLC | Multi-Specialty | Current | Accepting new patients |
| Melvin M. Seek, MD, PA | Multi-Specialty | Current | Accepting new patients |
| Tampa General Hospital | Current | Accepting new patients | |
| West Marion Family Practice PA | Multi-Specialty | Past | 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
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- 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.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.