Anna Wagner Weir, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN180536 Issued in GA

Practice address

2305 Vidina Dr Ste 102
Melbourne, FL 32940-8066

Phone

(321) 441-8332

Fax

(321) 319-4931

NPI assigned

Apr 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Anna Lee Wagner Former name

Electronic endpoints 5

Medicare fee-for-service enrollment

Enrolled in FL, GA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Forefront Dermatology, S.C.

  dba Advanced Dermatology & Skin Care Centre

  • Dermatology Physician
  • Miramar Beach, FL
  • NPI 1154815546
  Medicare reassignment Care Compare group NPD
• Kathleen Leber, MD PA

  • Dermatology Physician
  • Tampa, FL
  • NPI 1336105758
  Medicare reassignment NPD
• Dermatology Associates of Georgia, LLC

  • Specialist
  • Decatur, GA
  • NPI 1063560803
  Medicare reassignment NPD
• Forefront Dermatology, S.C.

  dba Dermatology & Plastic Surgery, A Forefront Practice

  • Dermatology Physician
  • Melbourne, FL
  • NPI 1427662071
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• SC Physicians LLC

  • Ambulatory Surgical Clinic/Center
  • St Petersburg, FL
  • NPI 1346549292
  NPD (past)
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)
• Forefront Dermatology, S.C.

  dba DermSpecialists

  • Dermatology Physician
  • Campbellsville, KY
  • NPI 1841660305
  NPD (past)

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1952765810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 VIDINA DR STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408066",
            "telephone_number": "321-441-8332",
            "fax_number": "321-319-4931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6545 N WICKHAM RD STE 101",
            "address_purpose": "LOCATION",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402042",
            "country_code": "US",
            "telephone_number": "321-395-3298",
            "fax_number": "321-241-1161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Indialantic",
            "state": "FL",
            "postal_code": "329034280",
            "country_code": "US",
            "telephone_number": "321-312-1352",
            "fax_number": "321-312-1513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6559 N WICKHAM RD STE C-105",
            "address_purpose": "LOCATION",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402039",
            "country_code": "US",
            "telephone_number": "321-395-3298",
            "fax_number": "321-241-1161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6545 N WICKHAM RD STE 102",
            "address_purpose": "LOCATION",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402042",
            "country_code": "US",
            "telephone_number": "321-395-3298",
            "fax_number": "321-241-1161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIR",
        "first_name": "ANNA",
        "middle_name": "WAGNER",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9415945",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN180536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aweir@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "6559 N WICKHAM RD STE C-105",
            "city": "MELBOURNE",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329402039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aweir@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "6545 N WICKHAM RD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329402042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aweir@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "6545 N WICKHAM RD STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329402042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aweir@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "420 5th Ave",
            "city": "Indialantic",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329034280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aweir@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "2305 Vidina Dr Ste 102",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329408066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "WAGNER",
            "middle_name": "LEE",
            "prefix": "MS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather M Weeks, ARNP
• Amy Megan Wegener, APRN
• Denise Wegerif, LMHC, LMFT
• Michael Weinberg
• Sarah Weinstein, MSW
• David S Weiser, MD
• James Weixler
• Chandler Franklin Welch, DMIN
• John Paul Welch, ANP-BC, RN
• Mark Andrew Welch, OTA

• Family Nurse Practitioner in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.
• 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.

Verify at the official NPI Registry.