MEDIWELL LLC
NPI 1053187179
Nurse Practitioner in Deland, FL

Active since November 29, 2023
216 JACKSON LOOP, DELAND, FL 32724(646) 346-4709(844) 749-3011 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 4, 2026, May 22, 2025, May 12, 2025 (3 updates tracked since 2025).

About Mediwell Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDIWELL LLC (NPI 1053187179) is a healthcare organization registered as a nurse practitioner in Deland, Florida and active in the NPI registry since November 2023. The organization lists Janet A Heron, Owner, as its authorized official.

NPPES Registry Identity

NPI1053187179
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMEDIWELL LLC
Location Address216 JACKSON LOOPDeland, FL 32724-3251
Mailing Address216 Jackson LoopDeland, FL 32724-3251 · (646) 346-4709 · Fax (844) 749-3011
Fax(844) 749-3011
Organization SubpartNo
Authorized OfficialJanet A HeronOwner · (646) 346-4709
Enumeration DateNovember 29, 2023
Last NPPES UpdateJune 4, 20263 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
NPI 1053187179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
216 JACKSON LOOP, Deland, FL 32724

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
216 JACKSON LOOP
DELAND, FL 32724
General Practice
216 JACKSON LOOP
DELAND, FL 32724

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mediwell LLC's NPI number?

The NPI number for Mediwell LLC is 1053187179. It was assigned to this organization in the NPPES registry on November 29, 2023.

Where is Mediwell LLC located?

Mediwell LLC is located at 216 Jackson Loop, Deland, FL 32724. The listed phone number is (646) 346-4709.

What is Mediwell LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mediwell LLC was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.