JUSTIN WIMBERLY MD
NPI 1700467982
Student in an Organized Health Care Education/Training Program in Loxahatchee, FL

Active since April 19, 2021PECOS Enrolled
13001 SOUTHERN BLVD, LOXAHATCHEE, FL 33470(561) 784-3127 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Justin Wimberly Md NPPES

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

JUSTIN WIMBERLY MD (NPI 1700467982) is an individual student in an organized health care education/training program in Loxahatchee, Florida and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2021).

NPPES Registry Identity

NPI1700467982
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN WIMBERLYCredential: MD
Location Address13001 SOUTHERN BLVDLoxahatchee, FL 33470-9203
Mailing Address2117 Lakefront DrHuntsville, AL 35824-1583
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2021
Enumeration DateApril 19, 2021
NPPES CertifiedApril 19, 2021
✔ NPI 1700467982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
13001 SOUTHERN BLVD, Loxahatchee, FL 33470

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Wimberly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486098720
PECOS Enrollment IDI20260112001322
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.

Medicare Billing Reassignment

Medicare enrollment records show Justin Wimberly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
1 CHILDRENS WAY
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 653 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Physician Assistant
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Nurse Anesthetist, Certified Registered
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Anesthesiology
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Radiology (Diagnostic Radiology)
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Internal Medicine
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Nurse Practitioner (Family)
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470
Physician Assistant (Surgical)
13001 SOUTHERN BLVD
LOXAHATCHEE, FL 33470

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 Justin Wimberly's NPI number?

The NPI number for Justin Wimberly is 1700467982. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Where is Justin Wimberly located?

Justin Wimberly practices at 13001 Southern Blvd, Loxahatchee, FL 33470. The listed phone number is (561) 784-3127.

What is Justin Wimberly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Justin Wimberly enrolled in Medicare?

Yes. Justin Wimberly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justin Wimberly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Wimberly reassigns Medicare benefits to Arkansas Childrens Professional Services Organization LLC (Little Rock, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Wimberly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Wimberly accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Justin Wimberly 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 Justin Wimberly was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.