Amy Wiley, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11038062 Issued in FL

Practice address

1500 29TH Ave N
St Petersburg, FL 33704-2535

Phone

(858) 220-3598

NPI assigned

Mar 5, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mary Welsh Foundation, Inc.

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1376055400
  Medicare reassignment NPD
• Robin Foster LMHC LLC

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1275953291
  Medicare reassignment NPD

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1841098803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 29TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337042535",
            "telephone_number": "858-220-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 29TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337042535",
            "telephone_number": "858-220-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "AMY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11038062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilder Nutrition Solutions LLC
• Clara Mae Wilder VII, BA
• Darbie Leigh Wilder, R.D.
• Dawn Mitchell Wilder
• Sarah Kate Wilder, M.ED./ED.S.
• Christopher Ambler Wiley, APRN, PMHNP-BC
• Dewitt Wilkerson, D.M.D
• Tasha R. Wilkerson, LCSW
• Donna Wilkinson, APRN-C
• Devon Willette

• Psychiatric/Mental Health Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.