BAMBI LYNN WADELTON PLHD
NPI 1083764039
Psychologist - Clinical in Ponte Vedra Beach, FL

Q: What is Bambi Wadelton's NPI number?

The NPI number for Bambi Wadelton is 1083764039. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Q: What is Bambi Wadelton's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Bambi Wadelton was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment

13000 SAWGRASS VILLAGE CIR, SUITE 46, PONTE VEDRA BEACH, FL 32082(904) 280-8555(904) 280-8562 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bambi Lynn Wadelton Plhd NPPES

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

BAMBI LYNN WADELTON PLHD (NPI 1083764039) is an individual clinical provider in Ponte Vedra Beach, Florida, licensed in Florida (PY5636) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1083764039

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameBAMBI LYNN WADELTONCredential: PLHD

Location Address13000 SAWGRASS VILLAGE CIR, SUITE 46Ponte Vedra Beach, FL 32082-5016

Mailing Address13000 Sawgrass Village Cir, Suite 46Ponte Vedra Beach, FL 32082-5016 · (904) 280-8555 · Fax (904) 280-8562

Phone(904) 280-8555

Fax(904) 280-8562

Sole ProprietorYes

Medical School CMSOtherGraduated 1995

Enumeration DateJanuary 11, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1083764039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY5636

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

13000 SAWGRASS VILLAGE CIR, Ponte Vedra Beach, FL 32082

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bambi Lynn Wadelton Plhd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951759182

PECOS Enrollment IDI20231129001814

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

1,191 services55 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

50 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32082 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

MR. EMILY ANN POLATAS LMT

Specialist

13000 SAWGRASS VILLAGE CIR, SUITE 36
PONTE VEDRA BEACH, FL 32082

St. Johns County (904) 940-5445

CLAUDIA ROJAS-BAISDEN

Counselor (Mental Health)

13000 SAWGRASS VILLAGE CIR, SUITE 11
PONTE VEDRA BEACH, FL 32082

St. Johns County (904) 280-8555

ANITA CHRISTINE HURLEY L.M.T.

Massage Therapist

13000 SAWGRASS VILLAGE CIR, SUITE #36
PONTE VEDRA, FL 32082

St. Johns County (904) 273-9966

JESSICA CARTER O'BRIEN

Community/Behavioral Health

13000 SAWGRASS VILLAGE CIR, STE 11
PONTE VEDRA BEACH, FL 32082

St. Johns County (904) 280-8555

CLAUDIA ROJAS-BAISDEN LMHC

Counselor (Mental Health)

13000 SAWGRASS VILLAGE CIR, SUITE 11
PONTE VEDRA BEACH, FL 32082

St. Johns County (904) 280-8555

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 Bambi Wadelton's NPI number?

The NPI number for Bambi Wadelton is 1083764039. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Bambi Wadelton located?

Bambi Wadelton practices at 13000 Sawgrass Village Cir Suite 46, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 280-8555.

What is Bambi Wadelton's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Bambi Wadelton enrolled in Medicare?

Yes. Bambi Wadelton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bambi Wadelton accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Bambi Wadelton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bambi Wadelton was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.