Individual provider Active NPI

Erika Willetts, CNM

  • Advanced Practice Midwife
  • Fleming Island, FL
National Provider Identifier
1235507310
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN11034596 Issued in FL
Practice address
1680 Eagle Harbor Pkwy Ste a
Fleming Island, FL 32003-4821
Phone
(904) 264-9555
Fax
(904) 215-7960
NPI assigned
Sep 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN11034596 FL Primary
Advanced Practice Midwife 367A00000X 201506378NP-PP OR

Addresses

Primary practice location

1680 Eagle Harbor Pkwy Ste a
Fleming Island, FL 32003-4821

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other practice location 1

1219 SW 4th Ave Unit 2
Ontario, OR 97914-4500
Phone (541) 889-2229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CO, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20151007002243 OR Practitioner - Certified Nurse Midwife (CNM) 8224346457
I20210616000357 CO Practitioner - Certified Nurse Midwife (CNM) 8224346457 Reassigns benefits to 2 organizations
I20240827000070 FL Practitioner - Certified Nurse Midwife (CNM) 8224346457 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

1680 Eagle Harbor Pkwy
Suite a
Fleming Island, FL 32003-4821
Phone (904) 264-9555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Health FL P.a. Advanced Practice Midwife CurrentSince Mar 9, 2026 Accepting new patients
Womens' Health Hospitalists, LLC CurrentSince Aug 16, 2024 Accepting new patients
Women'S Care Florida LLC Advanced Practice Midwife CurrentSince Aug 16, 2024 Accepting new patients
Pueblo Community Health Center Inc Current Accepting new patients
Peak Vista Community Health Centers CurrentSince Apr 14, 2022 Accepting new patients
Peak Vista Community Health Centers CurrentSince Apr 14, 2022 Accepting new patients
Pueblo Community Health Center Inc CurrentSince Aug 1, 2021 Accepting new patients
Pueblo Community Health Center Inc CurrentSince Aug 1, 2021 Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

110 E Routt Ave
Pueblo, CO 81004
Phone (719) 543-8718

300 Colorado Ave
Pueblo, CO 81004
Phone (719) 543-8718

3627 University Blvd S
Ste 200
Jacksonville, FL 32216
Phone (904) 296-3200

1075 Oakleaf Plantation Pkwy
Ste 108
Orange Park, FL 32065
Phone (904) 264-9555

1075 Oakleaf Plantation Pkwy
Ste 109
Orange Park, FL 32065
Phone (904) 264-9555

1680 Eagle Harbor Pkwy
Ste A
Orange Park, FL 32003
Phone (904) 264-9555

5002 W Lemon St
Tampa, FL 33609

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

Interoperability endpoints

  • Direct secure messaging: erika.willetts@wcfnf.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/23211/brand/1/csg/21/fhir/r4

Organizations & group practices 8

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": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1235507310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 EAGLE HARBOR PKWY STE A",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034821",
            "telephone_number": "904-264-9555",
            "fax_number": "904-215-7960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1219 SW 4th Ave Unit 2",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OR",
            "postal_code": "979144500",
            "country_code": "US",
            "telephone_number": "541-889-2229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLETTS",
        "first_name": "ERIKA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11034596",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "201506378NP-PP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.