Active NPI
Jordan Wiles, ARNP
- Family Nurse Practitioner
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9346845
- Practice address
- 1314 Oak St
Melbourne, FL 32901-3111 - Phone
- (321) 727-7992
- Fax
- (321) 727-7664
- NPI assigned
- Jan 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9346845 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN9346845 | FL | Primary |
Addresses
Primary practice location
1314 Oak St
Melbourne, FL 32901-3111
Mailing address
1314 Oak St
Melbourne, FL 32901-3111
Phone (321) 727-7992
Other practice location 1
1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Phone (321) 434-8121
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105018800 | Medicaid | FL | |
| L5777 | Other | FL | FL MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MANAGER@ILAPULMONARY.COM | Direct |
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1314 Oak St
Melbourne, FL 32901-3111
Phone 3217277992114
1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Phone (321) 434-8121
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.35 of 100
- Quality
- 87.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9346845 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Lung Associates, PA | Current | Accepting new patients | |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Florida Kidney Physicians , LLC | Current | Accepting new patients | |
| Florida Kidney Physicians, LLC | Current | Accepting new patients | |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Medical Associates of Brevard LLC | Past | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
1314 Oak St
Melbourne, FL 32901
Phone (321) 610-3907
111 E Hibiscus Blvd
Melbourne, FL 32901
Phone (321) 725-8919
19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558
1425 Malabar Rd NE
Palm Bay, FL 32907
Phone (321) 434-8000
12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708
Interoperability endpoints
- manager@ilapulmonary.com
- https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
- jwiles71580@epicdirect.hf.org
- jordan.wiles.1@15644.direct.athenahealth.com
Organizations & group practices 6
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.
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
-
- Pulmonary Disease Physician
- Melbourne, FL
- NPI 1912928045
-
- Nephrology Physician
- Temple Terrace, FL
- NPI 1760831564
-
- Nephrology Physician
- Melbourne, FL
- NPI 1205506722
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- Multi-Specialty Clinic/Center
- Melbourne, FL
- NPI 1861400103
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Palm Bay Hospital
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1952818650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 OAK ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013111",
"telephone_number": "321-727-7992",
"fax_number": "321-727-7664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 OAK ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013111",
"telephone_number": "321-727-7992",
"fax_number": "321-727-7664"
}
],
"practiceLocations": [
{
"address_1": "1425 Malabar Rd NE",
"address_purpose": "LOCATION",
"city": "Palm Bay",
"state": "FL",
"postal_code": "329072506",
"country_code": "US",
"telephone_number": "321-434-8121",
"fax_number": "321-434-8089",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILES",
"first_name": "JORDAN",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-03",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9346845",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9346845",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105018800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MEDICARE",
"identifier": "L5777",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MANAGER@ILAPULMONARY.COM",
"affiliation": "N",
"endpointDescription": "EMAIL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1314 Oak St",
"city": "Melbourne",
"state": "FL",
"country_code": "US",
"postal_code": "329013111",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.