Active NPI
Shelly J Wik, ARNP-C, MSN
- Family Nurse Practitioner
- Deerfield Beach, FL
National Provider Identifier
1790799070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP2613302
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| NP2613302 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bilga Attar MD PA | Past | 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 | Past | 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.
-
- Pain Medicine Physician
- Boca Raton, FL
- NPI 1457402471
-
- Internal Medicine Physician
- Pompano Beach, FL
- NPI 1730581026
-
- Family Medicine Physician
- Boca Raton, FL
- NPI 1124167986
-
- Internal Medicine Physician
- Deerfield Beach, FL
- NPI 1568435600
-
- Clinic/Center
- Deerfield Beach, FL
- NPI 1730438102
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.