NPIMap

Individual provider Active NPI

Victoria Susan Waicus, ARNP

  • Family Nurse Practitioner
  • Edgewater, FL
National Provider Identifier
1275159733
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11007654 Issued in FL
Practice address
27 Silver Cir
Edgewater, FL 32141-5114
Phone
(386) 690-6923
NPI assigned
Jun 21, 2020
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11007654 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11007654 FL

Addresses

Primary practice location

27 Silver Cir
Edgewater, FL 32141-5114

Mailing address

303 N Clyde Morris Blvd
Credential Services
Daytona Beach, FL 32114-2709
Phone (386) 425-2285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201106001719 FL Practitioner - Nurse Practitioner 9032529862 Reassigns benefits to 6 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
Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111

303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709
Phone (386) 254-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
APRN11007654FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC CurrentSince May 23, 2025 Accepting new patients
Public Health Trust of Miami Dade County Florida Current Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince May 21, 2025 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince May 21, 2025 Accepting new patients
Forefront Telecare Inc CurrentSince May 6, 2025 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Sep 25, 2020 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince May 21, 2025 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince May 21, 2025 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince May 21, 2025 Accepting new patients
Serenity Springs LLC Past Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1695 NW 9th Ave
Miami, FL 33136
Phone (305) 355-7147

20201 NW 37th Ave
Opa Locka, FL 33056
Phone (786) 466-2700

1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700

115 N Calhoun St
Ste 4
Tallahassee, FL 32301
Phone (323) 776-3632

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 10

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1592697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1275159733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N CLYDE MORRIS BLVD",
            "address_2": "CREDENTIAL SERVICES",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142709",
            "telephone_number": "386-425-2285",
            "fax_number": "386-425-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SILVER CIR",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321415114",
            "telephone_number": "386-690-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAICUS",
        "first_name": "VICTORIA",
        "middle_name": "SUSAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-21",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007654",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11007654",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, FL

Sources for this page

Verify at the official NPI Registry.