Individual provider Active NPI

Jordan Wiles, ARNP

  • Family Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1952818650
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9346845 Issued in FL
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

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
105018800MedicaidFL
L5777OtherFLFL MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200115001515 FL Practitioner - Nurse Practitioner 9739514076 Reassigns benefits to 3 organizations

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
Independent Lung Associates, PAGroup PAC ID 4789665738, 18 clinicians
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
ARNP9346845FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Lung Associates, PA CurrentSince Jan 1, 2020 Accepting new patients
Health First Medical Group, LLC CurrentSince Jan 1, 2020 Accepting new patients
Florida Kidney Physicians , LLC CurrentSince Jan 23, 2025 Accepting new patients
Florida Kidney Physicians, LLC CurrentSince Jan 23, 2025 Accepting new patients
Health First Medical Group, LLC CurrentSince Jan 1, 2020 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

  • Direct secure messaging: manager@ilapulmonary.com
  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jwiles71580@epicdirect.hf.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.