Ember Lee Charlotte Wackelin

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11029163 Issued in FL

Practice address

612 Hamlin St
Nokomis, FL 34275-5116

Phone

(941) 549-9540

NPI assigned

Oct 12, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Starling Physicians, PLLCGroup PAC ID 7517863749, 276 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hartford Hospital Hospital, Hartford, CT, CCN 070025

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Starling Physicians, PLLC

  • Internal Medicine Physician
  • Rocky Hill, CT
  • NPI 1467537290
  Medicare reassignment Care Compare group NPD
• Starling Physicians PLLC

  • Durable Medical Equipment & Medical Supplies
  • Bloomfield, CT
  • NPI 1760355861
  NPD
• Starling Physicians, PLLC

  dba Starling Physicians PC

  • Mammography Clinic/Center
  • New Britain, CT
  • NPI 1720182991
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hartford Hospital

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1770696643
  Care Compare affiliation
• Hartford Hospital

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1902834880
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1487435699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 HAMLIN ST",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342755116",
            "telephone_number": "941-549-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 HAMLIN ST",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342755116",
            "telephone_number": "941-549-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACKELIN",
        "first_name": "EMBER LEE",
        "middle_name": "CHARLOTTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Ulitsky
• Lynn Ann Vanstone, CCC-SLP
• Audrey Lynn Vero, MS, RD
• Village Pharmacy of Nokomis LLC (Village Pharmacy)
• VMD Primary Providers Central Florida PLLC
• Walgreen Co (Walgreens #11787)
• Anthony Warner, RCSWI
• Justin Ross Wasserman, MD
• Wellness U, LLC (Hope 80/20)
• West Coast Wellness and Family Medicine PA

• Family Nurse Practitioner in Nokomis, FL
• Providers in Nokomis, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.

Verify at the official NPI Registry.