Individual provider Active NPI

Heather Nicole Wilbur, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1467200030
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11032699 Issued in FL
Practice address
2400 E Commercial Blvd Ste 101
Fort Lauderdale, FL 33308-4022
Phone
(833) 769-3524
Fax
(954) 756-9582
NPI assigned
May 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11032699 FL Primary

Addresses

Primary practice location

2400 E Commercial Blvd Ste 101
Fort Lauderdale, FL 33308-4022

Mailing address

2400 E Commercial Blvd Ste 101
Fort Lauderdale, FL 33308-4022
Phone (833) 769-3524

Other practice location 1

5361 NW 22nd Ave
Miami, FL 33142-8035
Phone (305) 637-6400

Other practice location 2

725 N 12th Ave Bldg B
Arcadia, FL 34266-8752
Phone (941) 776-4000

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
I20240731002029 FL Practitioner - Nurse Practitioner 8426595190 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

2400 E Commercial Blvd
Suite 101
Fort Lauderdale, FL 33308-4022
Phone (754) 243-5650

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11032699FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Wellbeing LLC CurrentSince Jul 22, 2024 Accepting new patients
MCR Health, Inc. CurrentSince Aug 23, 2024 Accepting new patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Aug 5, 2025 Accepting new patients
Jessie Trice Community Health System Inc Current Accepting new patients
Jessie Trice Community Health System, Inc CurrentSince Feb 1, 2025 Accepting new patients
Personal Recovery Network LLC CurrentSince Aug 18, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Aug 23, 2024 Accepting new patients
Jessie Trice Community Health System, Inc Current Accepting new patients
Jessie Trice Community Health System Inc CurrentSince Feb 1, 2025 Accepting new patients

Locations

725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242

8570 Granite Ct
Ste 101
Fort Myers, FL 33908
Phone (239) 310-4646

2400 E Commercial Blvd
Ste 101
Ft Lauderdale, FL 33308
Phone (754) 243-5650

901 E 10th Ave
Hialeah, FL 33010
Phone 30563764002151

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

5607 NW 27th Ave
Ste 1
Miami, FL 33142
Phone (305) 805-1700

5361 NW 22nd Ave
Miami, FL 33142
Phone (305) 835-1586

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

20612 NW 27th Ave
Miami Gardens, FL 33056
Phone (305) 835-1615

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.heatherwilbur@141363.advancedmd-direct.com

Organizations & group practices 9

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": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1467200030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 E COMMERCIAL BLVD STE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084022",
            "telephone_number": "833-769-3524",
            "fax_number": "954-756-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E COMMERCIAL BLVD STE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084022",
            "telephone_number": "833-769-3524",
            "fax_number": "954-756-9582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5361 NW 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331428035",
            "country_code": "US",
            "telephone_number": "305-637-6400",
            "fax_number": "305-636-5155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 N 12th Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668752",
            "country_code": "US",
            "telephone_number": "941-776-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILBUR",
        "first_name": "HEATHER",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11032699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.