Active NPI
John L Wheeler, ARNP
- Nurse Practitioner
- St Petersburg, FL
National Provider Identifier
1528064797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP2224092
- Practice address
- 3236 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-1202 - Phone
- (727) 823-4848
- Fax
- (727) 823-4880
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP2224092 | FL | Primary |
Addresses
Primary practice location
3236 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-1202
Mailing address
3236 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-1202
Phone (727) 823-4848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 301258100 | Medicaid | FL |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061129000057 | FL | Practitioner - Nurse Practitioner | 1052319068 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Anthony'S Primary Care LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1629029897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389916800000",
"number": "1528064797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3236 DR MARTIN LUTHER KING JR ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337041202",
"telephone_number": "727-823-4848",
"fax_number": "727-823-4880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3236 DR MARTIN LUTHER KING JR ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337041202",
"telephone_number": "727-823-4848",
"fax_number": "727-823-4880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "JOHN",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2014-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP2224092",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "301258100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.