Individual provider Active NPI

Lindsay Wiberly, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Lutz, FL
National Provider Identifier
1659197317
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11035709 Issued in FL
Practice address
21859 FL-54
Lutz, FL 33549
Phone
(727) 808-1606
NPI assigned
Nov 27, 2024
Last updated
Jun 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 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 11035709 FL Primary

Addresses

Primary practice location

21859 FL-54
Lutz, FL 33549

Mailing address

4648 Jerrilyn CT
New Port Richey, FL 34653-6724
Phone (727) 808-1606

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
I20250314002996 FL Practitioner - Nurse Practitioner 6204358658 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Timothy Urgent CareGroup PAC ID 3274059464, 3 clinicians

Practice addresses (Care Compare)

16244 Redstone Way
Odessa, FL 33556-4668
Phone (813) 755-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Timothy Urgent Care CurrentSince Apr 1, 2025 Accepting new patients
Revive PCMS Florida LLC CurrentSince Oct 4, 2025 Accepting new patients
Tina & Mary Corp CurrentSince Apr 1, 2025 Accepting new patients
Unique Healthcare Systems LLC CurrentSince Jan 10, 2025 Accepting new patients
Unique Management Group PastSince Jan 10, 2025 Accepting new patients
Lifechoices Women's Care, Inc. PastSince Dec 1, 2024 Accepting new patients

Locations

2410 Northside Dr
Clearwater, FL 33761
Phone (727) 499-0358

2650 Roosevelt Blvd
Clearwater, FL 33760
Phone (727) 754-2657

21859 State Road 54
Lutz, FL 33549
Phone (813) 382-8747

16244 Redstone Way
Odessa, FL 33556
Phone (813) 430-0900

7101 US Highway 19 N
Pinellas Park, FL 33781
Phone (727) 201-8585

10580 Spring Hill Dr
Spring Hill, FL 34608
Phone (352) 835-7111

Organizations & group practices 6

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": "1732665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1659197317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4648 JERRILYN CT",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536724",
            "telephone_number": "727-808-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21859 FL-54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33549",
            "telephone_number": "727-808-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIBERLY",
        "first_name": "LINDSAY",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-27",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.