Individual provider Active NPI

Gissele M Wainscott, FNP-BC

  • Family Nurse Practitioner
  • Pinellas Park, FL
National Provider Identifier
1386408920
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11031212 Issued in FL
Practice address
9840 60TH St N
Pinellas Park, FL 33782-3209
Phone
(352) 895-3773
NPI assigned
Feb 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9456707 FL
Family Nurse Practitioner 363LF0000X 11031212 FL Primary

Addresses

Primary practice location

9840 60TH St N
Pinellas Park, FL 33782-3209

Mailing address

9840 60TH St N
Pinellas Park, FL 33782-3209
Phone (352) 895-3773

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
I20240513001978 FL Practitioner - Nurse Practitioner 5991146698 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9456707FLMDFamily Medicine Physician
11031212FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
R & J Family Medicine LLC Family Medicine CurrentSince Apr 1, 2024 Accepting new patients

Locations

3955 58th St N
St Petersburg, FL 33709
Phone (727) 346-0822

Organizations & group practices 1

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": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1386408920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9840 60TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337823209",
            "telephone_number": "352-895-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 60TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337823209",
            "telephone_number": "352-895-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAINSCOTT",
        "first_name": "GISSELE",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "9456707",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11031212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.