Individual provider Active NPI

Kiesha Wilkinson, ARNP

  • Family Nurse Practitioner
  • Delray Beach, FL
National Provider Identifier
1437035649
Registry record updated Mar 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11041410 Issued in FL
Practice address
5350 Atlantic Ave
Delray Beach, FL 33484-8112
Phone
(561) 496-6000
NPI assigned
Aug 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11041410 FL Primary

Addresses

Primary practice location

5350 Atlantic Ave
Delray Beach, FL 33484-8112

Mailing address

1472 Artimino LN
Boynton Beach, FL 33436-1110
Phone (561) 632-7817

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kiesha.wilkinson.1@29601.direct.athenahealth.com

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
I20250918002163 FL Practitioner - Nurse Practitioner 9032613401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

2900 N Military TRL
Suite 200
Boca Raton, FL 33431-6308
Phone (561) 626-7604

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11041410FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC CurrentSince Oct 27, 2025 Accepting new patients
Conviva Medical Center Management LLC PastSince Oct 20, 2024 Accepting new patients

Locations

2900 N Military Trl
Ste 200
Boca Raton, FL 33431
Phone (561) 241-0025

5350 Atlantic Ave
Ste 100
Delray Beach, FL 33484
Phone (561) 496-5677

5350 Atlantic Ave
Delray Beach, FL 33484
Phone (561) 496-6000

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

Organizations & group practices 2

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": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773532800000",
    "number": "1437035649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1472 ARTIMINO LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361110",
            "telephone_number": "561-632-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 ATLANTIC AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848112",
            "telephone_number": "561-496-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "KIESHA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2026-03-15",
        "certification_date": "2026-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11041410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kiesha.wilkinson.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "5350 Atlantic Ave",
            "city": "Delray Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334848112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.