Active NPI
Wesley Ray Taylor, APRN
- Primary Care Nurse Practitioner
- Bartow, FL
National Provider Identifier
1316639529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- APRN11026565
- Practice address
- 2025 Flamingo Dr # D
Bartow, FL 33830-4235 - Phone
- (863) 581-6466
- Fax
- (844) 444-1285
- NPI assigned
- May 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | APRN11026565 | FL | Primary |
Addresses
Primary practice location
2025 Flamingo Dr # D
Bartow, FL 33830-4235
Mailing address
560 Lanier Rd
Fort Meade, FL 33841-9355
Phone (863) 512-9263
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240115000842 | FL | Practitioner - Nurse Practitioner | 1052763109 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11026565 | FL | MD | Primary Care Nurse Practitioner |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| HCA Florida Healthcare at Home | Home health agency | W-2 Managing Employee | Mar 1, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Fort Pierce, FL
- NPI 1922083666
W-2 Managing Employee
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1316639529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 LANIER RD",
"city": "FORT MEADE",
"state": "FL",
"postal_code": "338419355",
"telephone_number": "863-512-9263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 FLAMINGO DR # D",
"city": "BARTOW",
"state": "FL",
"postal_code": "338304235",
"telephone_number": "863-581-6466",
"fax_number": "844-444-1285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "WESLEY",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-24",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN11026565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bartow, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.