Latasha Wiley, - Medicare Nurse Practitioner in Jacksonville, FL

  1. Home
  2. Nurse Practitioner
  3. FL
  4. Jacksonville
Latasha Wiley, is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Eon Care Clinicians Pc and her current practice location is 4280 Southside Blvd, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 998-3677.

Latasha Wiley is licensed to practice in Florida (license number APRN11005781) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821628207.

Contact Information

Latasha Wiley,
4280 Southside Blvd,
Jacksonville, FL 32216-5400
(904) 998-3677
(904) 998-4027

Map and Direction




Provider's Profile

Full NameLatasha Wiley
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location4280 Southside Blvd, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Latasha Wiley graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1821628207
  • Provider Enumeration Date: 01/24/2020
  • Last Update Date: 06/22/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8527498112
  • Enrollment ID: I20200422002405

Medical Identifiers

Medical identifiers for Latasha Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821628207NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN11005781 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eon Care Clinicians Pc105283395129

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Latasha Wiley allows following entities to bill medicare on her behalf.
Entity NameRmed LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508815358
PECOS PAC ID: 6608768411
Enrollment ID: O20040326000760
Entity NameMetro Infectious Disease Consultants LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235125717
PECOS PAC ID: 3072425784
Enrollment ID: O20160725002739
Entity NamePophealthcare, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164943957
PECOS PAC ID: 4880952977
Enrollment ID: O20171219001167
Entity NameNurse Practitioner Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780121277
PECOS PAC ID: 6002230778
Enrollment ID: O20230106000032
Entity NameEon Care Clinicians PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073332490
PECOS PAC ID: 1052833951
Enrollment ID: O20250424002093

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latasha Wiley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Latasha Wiley,
4280 Southside Blvd,
Jacksonville, FL 32216-5400

Ph: (904) 998-3677		Latasha Wiley,
4280 Southside Blvd,
Jacksonville, FL 32216-5400

Ph: (904) 998-3677

Reviews and Comments


Nurse Practitioner Nurses in Jacksonville, FL

Ms. Clare Denise Benjamin, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12058 San Jose Blvd Ste 802, Jacksonville, FL 32223
Phone: 904-910-9060    
Mrs. Rhode L. Jean-aleger, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10075 Gate Pkwy N Apt 102, Jacksonville, FL 32246
Phone: 904-997-9844    Fax: 904-997-9844
Jennifer Salenga Arguilla, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8773 Perimeter Park Ct, Jacksonville, FL 32216
Phone: 904-493-3390    Fax: 904-493-3395
Jessica Pelkowski, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Shannon Kathleen Burns, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Christy Mcewen,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207
Phone: 904-398-0125    Fax: 904-389-1832
Danielle Harper Pritchard, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210
Phone: 904-346-0050    Fax: 904-346-0080

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.