Active NPI
Jennifer Wheeler, P.A.
- Medical Physician Assistant
- Sanford, FL
National Provider Identifier
1194950030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9103459
- Practice address
- 1401 W Seminole Blvd
Central Florida Regional Hospital
Sanford, FL 32771-6743 - Phone
- (407) 321-4500
- NPI assigned
- May 21, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9103459 | FL | Primary |
Addresses
Primary practice location
1401 W Seminole Blvd
Central Florida Regional Hospital
Sanford, FL 32771-6743
Mailing address
1401 W Seminole Blvd
Central Florida Regional Hospital
Sanford, FL 32771-6743
Phone (407) 321-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9103459 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clover Emergency Physicians LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- St Petersburg, FL
- NPI 1891744736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1194950030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 W SEMINOLE BLVD",
"address_2": "CENTRAL FLORIDA REGIONAL HOSPITAL",
"city": "SANFORD",
"state": "FL",
"postal_code": "327716743",
"telephone_number": "407-321-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W SEMINOLE BLVD",
"address_2": "CENTRAL FLORIDA REGIONAL HOSPITAL",
"city": "SANFORD",
"state": "FL",
"postal_code": "327716743",
"telephone_number": "407-321-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "JENNIFER",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-21",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9103459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.