Individual provider Active NPI

Celia Wines, FNP-C

  • Primary Care Nurse Practitioner
  • Floral City, FL
National Provider Identifier
1366220451
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11028718 Issued in FL
Practice address
7648 S Florida Ave
Floral City, FL 34436-2738
Phone
(352) 726-3700
Fax
(352) 726-8570
NPI assigned
Sep 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11028718 FL Primary

Addresses

Primary practice location

7648 S Florida Ave
Floral City, FL 34436-2738

Mailing address

5425 E Anna Jo Dr
Inverness, FL 34452-8411
Phone (352) 220-0122

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250630004168 FL Practitioner - Nurse Practitioner 1759894066 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11028718FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nature Coast Geriatric Services LLC CurrentSince Apr 26, 2025 Accepting new patients
West Florida Medical Associates P a CurrentSince Apr 26, 2025 Accepting new patients
West Florida Medical Associates, PA CurrentSince Apr 26, 2025 Accepting new patients

Locations

3400 N Lecanto Hwy
#A
Beverly Hills, FL 34465
Phone (352) 746-2227

3404 N Lecanto Hwy
Ste C
Beverly Hills, FL 34465
Phone (352) 746-1558

3404 N Lecanto Hwy
Ste A
Beverly Hills, FL 34465
Phone (352) 513-4867

7648 S Florida Ave
Floral City, FL 34436
Phone (352) 726-3700

801 Medical Ct E
Inverness, FL 34452
Phone (352) 637-4490

Organizations & group practices 3

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": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1366220451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 E ANNA JO DR",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344528411",
            "telephone_number": "352-220-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7648 S FLORIDA AVE",
            "city": "FLORAL CITY",
            "state": "FL",
            "postal_code": "344362738",
            "telephone_number": "352-726-3700",
            "fax_number": "352-726-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINES",
        "first_name": "CELIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11028718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral City, FL

Sources for this page

Verify at the official NPI Registry.