Individual provider Active NPI

Jocelyn Moselle Willett, ANP

  • Adult Health Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1760933766
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11011027 Issued in FL
Practice address
6201 SE Phillips Bend Ave
Stuart, FL 34997-8176
Phone
(716) 440-7839
NPI assigned
Oct 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F307748 NY
Adult Health Nurse Practitioner 363LA2200X 11011027 FL Primary

Addresses

Primary practice location

6201 SE Phillips Bend Ave
Stuart, FL 34997-8176

Mailing address

6201 SE Phillips Bend Ave
Stuart, FL 34997-8176
Phone (716) 440-7839

Other identifiers 1

IdentifierTypeStateIssuer
04604202MedicaidFL

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
I20231201001071 FL Practitioner - Nurse Practitioner 8820377302 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F307748NYMDNurse Practitioner
11011027FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Consultants of Saint Lucie County LLC CurrentSince Aug 1, 2023 Accepting new patients
Humayun Shareef MD PA CurrentSince Aug 1, 2023 Accepting new patients

Locations

2401 Frist Blvd
Ste 1
Fort Pierce, FL 34950
Phone (772) 464-0033

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJJBCA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1760933766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 SE PHILLIPS BEND AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349978176",
            "telephone_number": "716-440-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 SE PHILLIPS BEND AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349978176",
            "telephone_number": "716-440-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETT",
        "first_name": "JOCELYN",
        "middle_name": "MOSELLE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F307748",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11011027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04604202",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.