Active NPI
Wanda Ivette Chacon, APRN
- Adult Health Nurse Practitioner
- Wesley Chapel, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN28943272
- Practice address
- 2352 Bruce B Downs Blvd Ste 201
Wesley Chapel, FL 33544-9203 - Phone
- (813) 788-8160
- Fax
- (813) 355-5065
- NPI assigned
- Oct 7, 2015
- Last updated
- Jun 22, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN2894372 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN28943272 | FL | Primary |
Addresses
Primary practice location
2352 Bruce B Downs Blvd Ste 201
Wesley Chapel, FL 33544-9203
Mailing address
10682 Laxer Cay Loop
San Antonio, FL 33576-7307
Phone (786) 897-6350
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260
2700 Healing Way
Wesley Chapel, FL 33543-5453
7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone (813) 788-0411
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN28943272 | FL | MD | Adult Health Nurse Practitioner |
| APRN2894372 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients | |
| Florida Hospital Physician Group Inc | Family | Current | Accepting new patients |
| South Broward Hospital District | Current | Accepting new patients | |
| Pasco Hernando Hma Physician Management, LLC | Past | Accepting new patients |
Locations
13933 17th St
Ste 200
Dade City, FL 33525
Phone (352) 437-5971
1150 N 35th Ave
Ste 300
Hollywood, FL 33021
Phone (954) 265-1490
2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5663
601 N Flamingo Rd
Ste 206
Pembroke Pnes, FL 33028
Phone (954) 844-6825
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- wchacon151122@mhsdirect.net
- wchacon946788@adventhealth.direct-ci.com
Organizations & group practices 5
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.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
-
dba Memorial Division of Critical Care
- Critical Care Medicine (Internal Medicine) Physician
- Hollywood, FL
- NPI 1609884154
-
dba Memorial Home Infusion
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1043656614
-
dba Memorial Division of Neurosurgery (Pediatrics and Adult)
- Neurological Surgery Physician
- Hollywood, FL
- NPI 1114931888
-
- Obstetrics & Gynecology Physician
- Dade City, FL
- NPI 1003848359
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Dade City
- General Acute Care Hospital
- Dade City, FL
- NPI 1215444054
-
dba AdventHealth Zephyrhills
- General Acute Care Hospital
- Zephyrhills, FL
- NPI 1346354677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1407226194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10682 LAXER CAY LOOP",
"city": "SAN ANTONIO",
"state": "FL",
"postal_code": "335767307",
"telephone_number": "786-897-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2352 BRUCE B DOWNS BLVD STE 201",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335449203",
"telephone_number": "813-788-8160",
"fax_number": "813-355-5065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACON",
"first_name": "WANDA",
"middle_name": "IVETTE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-07",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN2894372",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN28943272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.