Individual provider Active NPI

Shelly J Wik, ARNP-C, MSN

  • Family Nurse Practitioner
  • Deerfield Beach, FL
National Provider Identifier
1790799070
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP2613302 Issued in FL
Practice address
1861 W Hillsboro Blvd
Deerfield Beach, FL 33442-1401
Phone
(954) 360-7000
Fax
(954) 360-7511
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 NP2613302 FL Primary

Addresses

Primary practice location

1861 W Hillsboro Blvd
Deerfield Beach, FL 33442-1401

Mailing address

1861 W Hillsboro Blvd
Deerfield Beach, FL 33442-1401
Phone (954) 360-7000

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
I20071215000029 FL Practitioner - Nurse Practitioner 0345330239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Management StrategiesGroup PAC ID 4082515119, 2 clinicians

Practice addresses (Care Compare)

2900 N Military Trail
Suite 241
Boca Raton, FL 33431-6347

2900 N Military TRL
Suite 241
Boca Raton, FL 33431-6347
Phone (561) 998-5100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP2613302FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bilga Attar MD PA PastSince Apr 16, 2012 Accepting new patients
Allan Gittman, M.D., P.a. Past Accepting new patients
Joseph J Arena MD PA Past Accepting new patients
The Health Center, Inc PastSince Aug 11, 2012 Accepting new patients

Organizations & group practices 5

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790799070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421401",
            "telephone_number": "954-360-7000",
            "fax_number": "954-360-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421401",
            "telephone_number": "954-360-7000",
            "fax_number": "954-360-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIK",
        "first_name": "SHELLY",
        "middle_name": "J",
        "credential": "ARNP-C, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "NP2613302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.