Julie Wiedman

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9107571 Issued in FL

Practice address

1900 N Mills Ave
Orlando, FL 32803-1444

Phone

(407) 894-4880

NPI assigned

Oct 15, 2013

Last updated

Nov 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Onspot-FLGroup PAC ID 3678984937, 43 clinicians

Associates in Dermatology, IncGroup PAC ID 1355334863, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwiedman3@dermorlando.emadirect.md
• Direct secure messaging: jwiedman73394@adventhealth.direct-ci.com

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.

• Onspot-FL

  dba OnSpot Dermatology

  • Dermatology Physician
  • Fort Myers, FL
  • NPI 1144827577
  Medicare reassignment Care Compare group NPD
• Associates in Dermatology Inc

  • Specialist
  • Kissimmee, FL
  • NPI 1316960297
  Medicare reassignment Care Compare group
• Urgent Care Centers of Brevard County LLC

  dba Health First AdventHealth Centra Care

  • Urgent Care Clinic/Center
  • Maitland, FL
  • NPI 1295367290

  Physician Assistant

  Medicare reassignment NPD
• Adventist Health System/Sunbelt, Inc.

  dba AdventHealth Centra Care - Brandon

  • Urgent Care Clinic/Center
  • Riverview, FL
  • NPI 1942603519

  Physician Assistant

  NPD
• Urgent Care Centers of Brevard County LLC

  dba Health First AdventHealth Centra Care Melbourne

  • Urgent Care Clinic/Center
  • Melbourne, FL
  • NPI 1801594858

  Physician Assistant

  NPD
• MVP Medical Practice PC

  • Infectious Disease Physician
  • Brooklyn, NY
  • NPI 1912541061
  NPD (past)

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1285062919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 RIVER GEM AVE",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347863176",
            "telephone_number": "407-617-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031444",
            "telephone_number": "407-894-4880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1131 S Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061226",
            "country_code": "US",
            "telephone_number": "941-444-0011",
            "fax_number": "603-952-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13770 Plantation Rd # 103",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339124460",
            "country_code": "US",
            "telephone_number": "941-444-0011",
            "fax_number": "603-952-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEDMAN",
        "first_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107571",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9107571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Renae Wicks, RN
• Rachel H Widdison, RBT
• Tiffany Kathleen Wieckowski, APRN
• Cathleen H Wiedel
• Karen Wiedenbeck
• Lucas Ross Wiegand, MD
• Klaudia Wielowski
• Eric Scott Wiener, PH.D.
• Eric R Wiepert, MD
• Daryl D Wier, MD

• Medical Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.