Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LATASHA WILEY
NPI 1821628207
Nurse Practitioner - Family in Jacksonville, FL

Active since January 24, 2020PECOS EnrolledAccepts Medicare Assignment
4280 SOUTHSIDE BLVD, JACKSONVILLE, FL 32216(904) 998-3677(904) 998-4027 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Latasha Wiley NPPES

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

LATASHA WILEY (NPI 1821628207) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN11005781) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1821628207
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLATASHA WILEY
Location Address4280 SOUTHSIDE BLVDJacksonville, FL 32216-5400
Mailing Address4280 Southside BlvdJacksonville, FL 32216-5400 · (904) 998-3677 · Fax (904) 998-4027
Fax(904) 998-4027
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 24, 2020
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
NPI 1821628207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · APRN11005781
4280 SOUTHSIDE BLVD, Jacksonville, FL 32216

Accepted 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

Latasha Wiley 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 ID8527498112
PECOS Enrollment IDI20200422002405
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 5

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
12,000 services120 patients
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401
This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.
170 services90 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
160 services62 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
52 services12 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
30 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
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 15

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

Nurse Practitioner (Family)
4280 SOUTHSIDE BLVD
JACKSONVILLE, FL 32216
Nurse Practitioner (Family)
4280 SOUTHSIDE BLVD
JACKSONVILLE, FL 32216
Pharmacist
4280 SOUTHSIDE BLVD
JACKSONVILLE, FL 32216
Nurse Practitioner (Family)
4280 SOUTHSIDE BLVD
JACKSONVILLE, FL 32216
Nurse Practitioner (Family)
4280 SOUTHSIDE BLVD
JACKSONVILLE, FL 32216
Nurse Practitioner (Family)
4280 SOUTHSIDE BLVD
JACKSONVILLE, FL 32216
Nurse Practitioner (Family)
4280 SOUTHSIDE BLVD
JACKSONVILLE, FL 32216
Pharmacist
4280 SOUTHSIDE BLVD
JACKSONVILLE, FL 32216

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 Latasha Wiley's NPI number?

The NPI number for Latasha Wiley is 1821628207. It was assigned to this individual provider in the NPPES registry on January 24, 2020.

Where is Latasha Wiley located?

Latasha Wiley practices at 4280 Southside Blvd, Jacksonville, FL 32216. The listed phone number is (904) 998-3677.

What is Latasha Wiley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Latasha Wiley enrolled in Medicare?

Yes. Latasha Wiley 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 Latasha Wiley accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Latasha Wiley 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 Latasha Wiley was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.