Wendy Su Pereira, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11025958 Issued in FL

Practice address

45 Industrial Blvd Ste C
Pensacola, FL 32503-7668

Phone

(850) 290-8410

Fax

(866) 574-6391

NPI assigned

Apr 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medcare Telehealth IncGroup PAC ID 2062981434, 4 clinicians

Jose V Perez DO PAGroup PAC ID 4587973284, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Jose V Perez DO PA

  • Internal Medicine Physician
  • Miami Lakes, FL
  • NPI 1639547177
  Medicare reassignment Care Compare group NPD
• Medcare Telehealth Inc

  • Clinic/Center
  • Orlando, FL
  • NPI 1619764305
  Medicare reassignment Care Compare group
• Grand Bell Health and Beyond LLC

  • Adult Health Nurse Practitioner
  • Pensacola, FL
  • NPI 1619828357
  NPD Authorized official

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1083302400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 INDUSTRIAL BLVD STE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325037668",
            "telephone_number": "850-290-8410",
            "fax_number": "866-574-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 INDUSTRIAL BLVD STE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325037668",
            "telephone_number": "850-290-8410",
            "fax_number": "866-574-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "WENDY",
        "middle_name": "SU",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11025958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perdido Counseling Professionals, Inc.
• Perdido Dental Associates, PA
• Ruben Jesus Perdomo, CRNA
• Amanda Perdue, APRN, FNP-BC
• Elizabeth Pereira, PT, DPT
• Janeilys Perez-Vazquez, RBT
• Aliyah Anne Perez
• Augustus Jose Perez, M.D., B.S.
• Brittany Beasley Perez, APRN
• Hannah Marie Perez

• Nurse Practitioner in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.