Active NPI
Jeffrey John Wiebe, ARNP
- Family Nurse Practitioner
- Apopka, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 2851582
- Practice address
- 5998 Mountbatten CV
Apopka, FL 32703-1950 - Phone
- (407) 296-0077
- NPI assigned
- Sep 11, 2012
- Last updated
- Sep 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | ARNP 2851582 | FL | Primary |
Addresses
Primary practice location
5998 Mountbatten CV
Apopka, FL 32703-1950
Mailing address
5998 Mountbatten CV
Apopka, FL 32703-1950
Phone (407) 296-0077
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
650 Northlake Blvd
Suite 400
Altamonte Springs, FL 32701-6126
Phone (407) 743-5360
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 2851582 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dispatchhealth-Florida Inc. | Current | Accepting new patients | |
| Florida Emergency Physicians Kang and Associates MD LLC | Current | Accepting new patients | |
| Dispatchhealth-Florida Inc. | Past | Accepting new patients |
Locations
1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800
7925 NW 12th St
Ste 129
Doral, FL 33126
Phone (786) 644-6413
8270 College Pkwy
Ste 103
Fort Myers, FL 33919
Phone (239) 322-3434
3200 SW 34th Ave
Ste 702
Ocala, FL 34474
1603 S Hiawassee Rd
Ste 130
Orlando, FL 32835
Phone (407) 296-2610
5421 Beaumont Center Blvd
Ste 660
Tampa, FL 33634
Phone (813) 551-1015
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Interoperability endpoints
- jeffrey.wiebe.1@13869.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1407472723
-
- Emergency Medical Services (Emergency Medicine) Physician
- Orlando, FL
- NPI 1811983752
-
- Emergency Medicine Physician
- Doral, FL
- NPI 1154097491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347321600000",
"number": "1891045423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5998 MOUNTBATTEN CV",
"city": "APOPKA",
"state": "FL",
"postal_code": "327031950",
"telephone_number": "407-296-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5998 MOUNTBATTEN CV",
"city": "APOPKA",
"state": "FL",
"postal_code": "327031950",
"telephone_number": "407-296-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEBE",
"first_name": "JEFFREY",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-11",
"last_updated": "2012-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 2851582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.