RAUL ALFONSO (APRN) – Family Nurse Practitioner, NPI 1053159889

RAUL ALFONSO (APRN) is a healthcare provider. based in Fort myers, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11034028 (FL). The NPI Number for RAUL ALFONSO (APRN) is 1053159889

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
RAUL ALFONSO (APRN)
NPI
1053159889
Phone
(239) 985-7171
Address
44 BARKLEY CIR
Enumeration Date
16 July 2024
Last Update Date
6 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2397720111
Graduation Year
2024 (2 years ago)
PAC ID
9537607767
Group Practice PAC ID
2961750146
Professional Enrollment ID
I20240819002007
Address ID
FL339906200CA1407XPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for RAUL ALFONSO (APRN)

  • 44 BARKLEY CIR

    FORT MYERS, FL 339077530

    Phone: (239) 985-7171

    Fax: (239) 985-7118

    Type: Mailing

  • 6091 S POINTE BLVD

    FORT MYERS, FL 339194899

    Phone: (239) 466-2020

    Fax: (239) 985-7118

    Type: Location

  • 112 Del Prado Blvd N

    Cape Coral, FL 339092702

    Phone: (239) 466-2020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: RxSight Inc ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
RxSight Inc$18
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240819002007INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33907)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961750146View full group profile
NameSpecialtyState
Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL
-FL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for RAUL ALFONSO (APRN)?
The registry entry for RAUL ALFONSO (APRN) shows NPI 1053159889.
Is RAUL ALFONSO (APRN)'s NPI status active today?
Active status means RAUL ALFONSO (APRN)'s NPI record is not deactivated in the public file.
How should patients interpret RAUL ALFONSO (APRN)'s specialty?
The extract shows Family Nurse Practitioner for RAUL ALFONSO (APRN). Clinical services aligned with this taxonomy classification.
Is RAUL ALFONSO (APRN) tied to Fort Myers, Florida?
If you are local to Fort Myers, Florida, RAUL ALFONSO (APRN) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

315 SE 14th St
NPI: 1104829274

MRS. SUSAN MARIE MALLONE-STEAD (APRN)

Pediatric Nurse Practitioner
South Cleveland Avenue, Fort Myers, Lee County, Florida, 33907, United States
NPI: 1487658316
9, Washington Avenue, Centerville, Hamden, New Haven County, Connecticut, 06518, United States
NPI: 1265430664
Fort Myers, Lee County, Florida, United States
NPI: 1669474532

DIANA CORPSTEIN (ARNP)

Family Nurse Practitioner
2675, Winkler Avenue, Fort Myers, Lee County, Florida, 33901, United States
NPI: 1265434625

MRS. ARLENE TERRY WRIGHT (APRN)

Family Nurse Practitioner
Plantation Road, Fort Myers, Lee County, Florida, 33966, United States
NPI: 1598758567

MRS. LUCIA MARIE WEST (FNP)

Family Nurse Practitioner
5266, Anchorage Drive, Saint James City, Lee County, Florida, 33956, United States
NPI: 1154315380

MRS. OLANDA MARIE HATHAWAY (APRN)

Family Nurse Practitioner
NIH Clinical Center, 10, Center Drive, Maplewood, Pooks Hill, Bethesda, Montgomery County, Maryland, 20892, United States
NPI: 1962496471

MS. JOHNNA LYNN DETTIS (ARNP)

Ambulatory Care Registered Nurse
3487 BROADWAY AVE.
NPI: 1700871662