Individual provider Active NPI

Wiledade Augustin, APRN

  • Family Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1164809257
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9290112 Issued in FL
Practice address
3401 Pga Blvd
Palm Beach Gardens, FL 33410-2823
Phone
(561) 219-1000
Fax
(689) 304-0303
NPI assigned
Apr 28, 2015
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9290112 FL Primary

Addresses

Primary practice location

3401 Pga Blvd
Palm Beach Gardens, FL 33410-2823

Mailing address

3401 Pga Blvd
Palm Beach Gardens, FL 33410-2823
Phone (561) 219-1000

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
I20150622000734 FL Practitioner - Nurse Practitioner 2466763297 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

3401 Pga Blvd
Palm Beach Gardens, FL 33410-2823
Phone (305) 689-5937

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9290112FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Dade Primary Care, LLC CurrentSince Dec 7, 2022 Accepting new patients
Palm Beach Primary Care Associates Inc CurrentSince Jun 26, 2015 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jun 1, 2024 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jun 1, 2024 Accepting new patients
Innovacare Florida Physicians, LLC Past Accepting new patients
Orlando Family Physicians, LLC Past Accepting new patients

Locations

5848 Atlantic Ave
Ste 143
Delray Beach, FL 33484
Phone (561) 270-6950

4998 10th Ave N
Greenacres, FL 33463
Phone (305) 965-4997

1000 NW 57th Ct
Ste 400
Miami, FL 33126

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

14750 NW 77th Ct
Ste 100
Miami Lakes, FL 33016
Phone (786) 485-1005

3345 Burns Rd
Ste 302
Palm Beach Gardens, FL 33410
Phone (561) 622-4047

9835 E Hibiscus St
Palmetto Bay, FL 33157
Phone (305) 238-8561

3002 Broadway
Riviera Beach, FL 33404
Phone (561) 331-4844

4700 N Habana Ave
Ste 403
Tampa, FL 33614
Phone (813) 876-9553

3347 S State Road 7
Ste 200
Wellington, FL 33449
Phone (561) 795-9087

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15805/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1164809257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 PGA BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102823",
            "telephone_number": "561-219-1000",
            "fax_number": "689-304-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 PGA BLVD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102823",
            "telephone_number": "561-219-1000",
            "fax_number": "689-304-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTIN",
        "first_name": "WILEDADE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9290112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.