MRS. SUMELIA WADDELL APRN
NPI 1710594114
Nurse Practitioner - Adult Health in Miami, FL

Active since September 29, 2020PECOS EnrolledAccepts Medicare Assignment
74.1/100
CMS Quality Rating
462 NE 210TH CIRCLE TER APT 204, MIAMI, FL 33179(347) 691-7315 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2026, May 28, 2026, Apr 15, 2026 and 1 more (4 updates tracked since 2020).

About Mrs. Sumelia Waddell Aprn NPPES

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

MRS. SUMELIA WADDELL APRN (NPI 1710594114) is an individual adult health provider in Miami, Florida, licensed in Florida (APRN11009375) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1710594114
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. SUMELIA WADDELLCredential: APRN
Location Address462 NE 210TH CIRCLE TER APT 204Miami, FL 33179-5236
Mailing Address462 Ne 210th Circle Ter Apt 204Miami, FL 33179-5236 · (347) 691-7315
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 29, 2020
Last NPPES UpdateAugust 5, 20264 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1710594114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in FL · APRN11009375✔ Licensed in SC · 32021✔ Licensed in PA · SP035908✔ Licensed in GA · GAA-NP005113✔ Licensed in NC · 5024244
462 NE 210TH CIRCLE TER APT 204, Miami, FL 33179

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Sumelia Waddell Aprn 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 ID5395158729
PECOS Enrollment IDI20210104001451
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 Reassignments

3

Medicare enrollment records show Sumelia Waddell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
11420 N KENDALL DR STE 207
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 74 clinicians in this Medicare group
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, Florida enrollment
  • 230 clinicians in this Medicare group
Family Medicine
1157 S STATE ROAD 7
Wellington, FL 33414
  • Reassigned Medicare billing, Florida enrollment
  • 4 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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33179 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.63
Improvement Activities40
Cost60.02

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 Sumelia Waddell's NPI number?

The NPI number for Sumelia Waddell is 1710594114. It was assigned to this individual provider in the NPPES registry on September 29, 2020.

Where is Sumelia Waddell located?

Sumelia Waddell practices at 462 NE 210th Circle Ter Apt 204, Miami, FL 33179. The listed phone number is (347) 691-7315.

What is Sumelia Waddell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Sumelia Waddell enrolled in Medicare?

Yes. Sumelia Waddell 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.

Which organizations bill Medicare for Sumelia Waddell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sumelia Waddell reassigns Medicare benefits to 3 organizations: Nova Medical Services - Wound Care Division LLC (Miami, FL), New York University (Boynton Beach, FL) and Life Resources, LLC (Wellington, FL). Each 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 Sumelia Waddell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sumelia Waddell accept?

Health plans from Oscar Health Maintenance Organization of Florida list Sumelia Waddell 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 Sumelia Waddell was last updated on August 5, 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.