Beverley Anne Wyman, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9172583 Issued in FL

Practice address

18385 Lingerlon Ave
Port Charlotte, FL 33948-3317

Phone

(352) 275-9826

NPI assigned

Mar 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Charlotte Pain Management Center IncGroup PAC ID 6800962176, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: beverley.wyman.1@3611.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/3611/brand/1/csg/1/fhir/r4

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.

• Charlotte Pain Management Center Inc

  • General Practice Physician
  • Port Charlotte, FL
  • NPI 1275797714
  Medicare reassignment Care Compare group NPD
• FL-I Medical Services, LLC

  • Nurse Practitioner
  • Fort Pierce, FL
  • NPI 1750655106
  Medicare reassignment NPD
• Mid-Florida Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Sebring, FL
  • NPI 1558630152

  Nurse Practitioner

  Medicare reassignment NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880
  Medicare reassignment NPD
• FL-I Medical Services LLC

  • Physician Assistant
  • Haines City, FL
  • NPI 1285356790

  Nurse Practitioner

  NPD
• FL-I Medical Services, LLC

  • Emergency Medicine Physician
  • Gainesville, FL
  • NPI 1871155887

  Nurse Practitioner

  NPD
• MD Now Medical Centers Inc

  • Urgent Care Clinic/Center
  • West Palm Beach, FL
  • NPI 1033195474
  NPD
• MD Now Medical Centers Inc

  • Urgent Care Clinic/Center
  • Pembroke Pines, FL
  • NPI 1265107361
  NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1073131702
  NPD
• City Circle ER SVCS Partnership LLC

  • Emergency Medicine Physician
  • Sebring, FL
  • NPI 1144279357
  NPD (past)

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1346548872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18385 LINGERLON AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339483317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18385 LINGERLON AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339483317",
            "telephone_number": "352-275-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYMAN",
        "first_name": "BEVERLEY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9172583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003409900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BUE-BCBSFL",
            "identifier": "Y06X7",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wright Medical Group Inc
• Vance M. Wright-Browne, M.D.
• Danielle Wright, APRN
• Laurel Janelle Wycoff, CPHT
• Rowena B Wylie
• Marcia J Wyman, ARNP
• Y & P Healthcare LLC
• Sarah Ann Yagelski, MS/OTR/L
• Geary Yamashita
• Yamila Noriega-Abreu, DMD, PLLC

• Family Nurse Practitioner in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.