Individual provider Active NPI

Jeffrey John Wiebe, ARNP

  • Family Nurse Practitioner
  • Apopka, FL
National Provider Identifier
1891045423
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 2851582 Issued in FL
Practice address
5998 Mountbatten CV
Apopka, FL 32703-1950
Phone
(407) 296-0077
NPI assigned
Sep 11, 2012
Last updated
Sep 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140610002487 FL Practitioner - Nurse Practitioner 9830313907 Reassigns benefits to 2 organizations

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
Dispatchhealth-Florida Inc.Group PAC ID 2668899220, 36 clinicians

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

LicenseStateTypeSpecialty
ARNP 2851582FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth-Florida Inc. CurrentSince Apr 1, 2023 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC CurrentSince Jun 1, 2014 Accepting new patients
Dispatchhealth-Florida Inc. PastSince Aug 1, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.