Individual provider Active NPI

Sumelia Waddell, APRN

  • Adult Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1710594114
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11009375 Issued in FL
Practice address
462 NE 210TH Circle Ter Apt 204
Miami, FL 33179-5236
Phone
(347) 691-7315
NPI assigned
Sep 29, 2020
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 32021 SC
Adult Health Nurse Practitioner 363LA2200X SP035908 PA
Adult Health Nurse Practitioner 363LA2200X GAA-NP005113 GA
Adult Health Nurse Practitioner 363LA2200X 5024244 NC
Adult Health Nurse Practitioner 363LA2200X APRN11009375 FL Primary

Addresses

Primary practice location

462 NE 210TH Circle Ter Apt 204
Miami, FL 33179-5236

Mailing address

462 NE 210TH Circle Ter Apt 204
Miami, FL 33179-5236
Phone (347) 691-7315

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
I20210104001451 FL Practitioner - Nurse Practitioner 5395158729 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

110 JFK Dr
Suite 110
Atlantis, FL 33462-1146
Phone (561) 641-9541

16244 S Military TRL
560 NYU Langone Cardiology Delray Bea
Delray Beach, FL 33484-6532
Phone (561) 495-7787

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11009375FLMDAdult Health Nurse Practitioner
5024244NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jul 1, 2024 Accepting new patients
New York University CurrentSince Jul 1, 2024 Accepting new patients
Nova Medical Services - Wound Care Division LLC CurrentSince Nov 7, 2023 Accepting new patients
Life Resources, LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

1447 Medical Park Blvd
Ste 205
Wellington, FL 33414
Phone (561) 234-6599

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25802/brand/1/csg/1/fhir/r4
  • Direct secure messaging: swaddell653639@nyumc.direct-ci.com

Organizations & group practices 4

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": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1710594114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 NE 210TH CIRCLE TER APT 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331795236",
            "telephone_number": "347-691-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 NE 210TH CIRCLE TER APT 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331795236",
            "telephone_number": "347-691-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "SUMELIA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "32021",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP035908",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "GAA-NP005113",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5024244",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11009375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.