Active NPI
Sumelia Waddell, APRN
- Adult Health Nurse Practitioner
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11009375
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11009375 | FL | MD | Adult Health Nurse Practitioner |
| 5024244 | NC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Nova Medical Services - Wound Care Division LLC | Current | Accepting new patients | |
| Life Resources, LLC | Current | 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
- https://api.platform.athenahealth.com/25802/brand/1/csg/1/fhir/r4
- 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.
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
-
- Family Medicine Physician
- Wellington, FL
- NPI 1801471503
-
dba NWC
- Family Medicine Physician
- Miami, FL
- NPI 1578145793
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.