Individual provider Active NPI

Whitney Wilson, APRN

  • Family Nurse Practitioner
  • Debary, FL
National Provider Identifier
1790152460
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11033903 Issued in FL
Practice address
2810 Enterprise Rd
Debary, FL 32713-2703
Phone
(207) 775-4000
NPI assigned
Aug 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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 APRN11033903 FL Primary

Addresses

Primary practice location

2810 Enterprise Rd
Debary, FL 32713-2703

Mailing address

PO Box 3250
Winchester, VA 22604-2450
Phone (540) 504-0118

Other practice location 1

5600 Victoria Gardens Blvd
Port Orange, FL 32127-7914
Phone (207) 775-4000

Other practice location 2

103 Clyde Morris Blvd
Ormond Beach, FL 32174-5982
Phone (207) 775-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160122001037 SC Practitioner - Nurse Practitioner 9638472780 Reassigns benefits to 3 organizations
I20241028001301 FL Practitioner - Nurse Practitioner 9638472780 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

980 Gateway Dr
Altamonte Springs, FL 32714-4807
Phone (321) 989-3104

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19705SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Medical PLLC CurrentSince Oct 24, 2024 Accepting new patients
Spartanburg Rehabilitation Institute Inc. CurrentSince Nov 1, 2023 Accepting new patients
Chestnut Hill Mental Health Center, Inc CurrentSince Apr 11, 2017 Accepting new patients
Altea Medical Florida PLLC CurrentSince Jun 28, 2025 Accepting new patients
Vibra Physicians LLC CurrentSince Nov 1, 2021 Accepting new patients
Chestnut Hill Mental Health Center, Inc. CurrentSince Apr 11, 2017 Accepting new patients
Alliance Internal Medicine, LLC Past Accepting new patients

Locations

400 E Rivulon Blvd
Ste 301
Gilbert, AZ 85297

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

5 E River Park Pl E
Ste 460
Fresno, CA 93720

7225 Boca del Mar Dr
Boca Raton, FL 33433
Phone (561) 362-9644

1104 N Main St
Bushnell, FL 33513
Phone (352) 568-8777

1851 Elkcam Blvd
Deltona, FL 32725
Phone (386) 789-3769

1010 Carpenters Way
Lakeland, FL 33809
Phone (813) 505-8889

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

190 NE 191st St
North Miami Beach, FL 33179
Phone (305) 651-9690

1200 Hospital Dr
Mt Pleasant, SC 29464
Phone (843) 226-7721

160 Harold Fleming Ct
Spartanburg, SC 29303
Phone (864) 594-8611

1 Havenwood Ln
Travelers Rst, SC 29690
Phone (864) 834-8013

1024 N Galloway Ave
Ste 101
Mesquite, TX 75149

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1790152460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3250",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226042450",
            "telephone_number": "540-504-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 ENTERPRISE RD",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132703",
            "telephone_number": "207-775-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5600 Victoria Gardens Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321277914",
            "country_code": "US",
            "telephone_number": "207-775-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Ormond Beach",
            "state": "FL",
            "postal_code": "321745982",
            "country_code": "US",
            "telephone_number": "207-775-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "WHITNEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11033903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Debary, FL

Sources for this page

Verify at the official NPI Registry.