Individual provider Active NPI

Wislande Gilles, APRN

  • Family Nurse Practitioner
  • Atlantis, FL
National Provider Identifier
1194341545
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11007702 Issued in FL
Practice address
5301 S Congress Ave
Atlantis, FL 33462-1149
Phone
(561) 965-7300
NPI assigned
Jun 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN11007702 FL Primary

Addresses

Primary practice location

5301 S Congress Ave
Atlantis, FL 33462-1149

Mailing address

5301 S Congress Ave
Atlantis, FL 33462-1149

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
I20210408000252 FL Practitioner - Nurse Practitioner 2961819032 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Electrophysiology Associates PAGroup PAC ID 1557559952, 14 clinicians

Practice addresses (Care Compare)

180 JFK Dr
Suite 311
Atlantis, FL 33462-6641
Phone (561) 434-0353

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delray Physician Care Center LLC Single Specialty CurrentSince Oct 23, 2021 Accepting new patients
Florida Electrophysiology Associates PA Single Specialty CurrentSince May 22, 2023 Accepting new patients
PJL Management, Inc Single Specialty CurrentSince Dec 27, 2020 Accepting new patients

Locations

2280 W Atlantic Ave
Delray Beach, FL 33445
Phone (561) 278-3134

200 Congress Park Dr
Ste 210
Delray Beach, FL 33445
Phone (561) 274-2655

Interoperability endpoints

  • Direct secure messaging: wgilles19864@jupitermedicalcenter.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GHGBDA

Organizations & group practices 3

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": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1194341545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 S CONGRESS AVE",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 S CONGRESS AVE",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621149",
            "telephone_number": "561-965-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLES",
        "first_name": "WISLANDE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.