Individual provider Active NPI

Danielle Wygand

  • Nurse Practitioner
  • Port Saint Lucie, FL
National Provider Identifier
1942072350
Registry record updated May 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11029475 Issued in FL
Practice address
1701 SE Hillmoor Dr Ste 7
Port Saint Lucie, FL 34952-7552
Phone
(772) 480-5860
Fax
(772) 264-8310
NPI assigned
Oct 30, 2023
Last updated
May 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11029475 FL Primary

Addresses

Primary practice location

1701 SE Hillmoor Dr Ste 7
Port Saint Lucie, FL 34952-7552

Mailing address

1263 SW Moonlite CV
Port Saint Lucie, FL 34986-2017
Phone (772) 342-7324

Other practice location 1

1263 SW Moonlite Cv
Port Saint Lucie, FL 34986-2017
Phone (772) 342-7324

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
I20240405001291 FL Practitioner - Nurse Practitioner 4587002894 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2100 SE Salerno Rd
Stuart, FL 34997-6503
Phone (772) 223-2300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chaim Gitelis DO PC CurrentSince Jun 1, 2024 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Jun 30, 2025 Accepting new patients
Martin Memorial Medical Center Inc Current Accepting new patients
Primary Care Solutions & More LLC CurrentSince Mar 29, 2024 Accepting new patients
Mac Wound Solutions LLC PastSince Sep 17, 2023 Accepting new patients

Locations

333 W 41st St
Ste 414
Miami Beach, FL 33140
Phone (305) 538-8998

1701 SE Hillmoor Dr
Ste 7
Port St Lucie, FL 34952
Phone (772) 398-9808

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300

33 Corporate Dr
Orangeburg, NY 10962
Phone (732) 482-1664

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1942072350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 SW MOONLITE CV",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862017",
            "telephone_number": "772-342-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR STE 7",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527552",
            "telephone_number": "772-480-5860",
            "fax_number": "772-264-8310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1263 SW Moonlite Cv",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349862017",
            "country_code": "US",
            "telephone_number": "772-342-7324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYGAND",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11029475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.