Individual provider Active NPI

Stephanie M Wise, APRN

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1508149048
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9198747 Issued in FL
Practice address
7240 7TH PL N
West Palm Beach, FL 33411-3801
Phone
(561) 969-6663
Fax
(561) 721-3106
NPI assigned
Sep 21, 2011
Last updated
May 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9198747 FL
Family Nurse Practitioner 363LF0000X APRN9198747 FL Primary

Addresses

Primary practice location

7240 7TH PL N
West Palm Beach, FL 33411-3801

Mailing address

7240 7TH PL N
West Palm Beach, FL 33411-3801
Phone (561) 969-6663

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
I20111017000731 FL Practitioner - Nurse Practitioner 7416129481 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach County Fire Fighters Health Clinic LLCGroup PAC ID 0143651679, 12 clinicians

Practice addresses (Care Compare)

7240 7TH PL N
West Palm Beach, FL 33411-3801
Phone 5619696663268

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dwic of Tampa Bay, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Palm Beach County Fire Fighters Health Clinic LLC CurrentSince May 1, 2023 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Jul 7, 2013 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Jul 7, 2013 Accepting new patients
Dwic of Tampa Bay, Inc. Current Accepting new patients
Dwic of Tampa Bay, Inc CurrentSince Feb 1, 2019 Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Locations

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

7240 7th Pl N
West Palm Beach, FL 33411
Phone (561) 969-6663

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1508149048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7240 7TH PL N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334113801",
            "telephone_number": "561-969-6663",
            "fax_number": "561-721-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7240 7TH PL N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334113801",
            "telephone_number": "561-969-6663",
            "fax_number": "561-721-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2023-05-02",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9198747",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9198747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.