DORENE MARY MCCOY (APRN) – Family Nurse Practitioner, NPI 1063934123

DORENE MARY MCCOY (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. APRN9207021 (FL). The NPI Number for DORENE MARY MCCOY (APRN) is 1063934123

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DORENE MARY MCCOY (APRN)
NPI
1063934123
Phone
(239) 343-2052
Address
13681 Doctors Way Ste 300
Enumeration Date
11 July 2017
Last Update Date
15 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2393432606
Graduation Year
2017 (9 years ago)
PAC ID
1557634375
Group Practice PAC ID
9335672146
Professional Enrollment ID
I20170830000906
Address ID
FL339083618FO9981XDRXX400

Contacts

Secure Messaging
dmccoy102034@Direct.leememorial.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

24,232 NURSE PRACTITIONER in FL

Provider Addresses for DORENE MARY MCCOY (APRN)

  • 13681 Doctors Way Ste 300

    Fort Myers, FL 339124300

    Phone: (239) 343-2052

    Type: Location

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (239) 343-2052

    Fax: (239) 343-1009

    Type: Mailing

  • 9981 S HEALTHPARK DR

    FORT MYERS, FL 339083618

    Phone: (239) 343-2052

    Fax: (239) 343-5348

    Type: Location

  • 9981 S HEALTHPARK DR STE 156

    FORT MYERS, FL 339083618

    Phone: (239) 343-6341

    Fax: (239) 343-6342

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $517.

Total Amount is formed as General ($517) + Research ($0) + Ownership ($0) = $517.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ATRICURE, INC. ($187).

Total Amount

$517

General + Research + Ownership

Payments

8

Total payment records

General Amount

$517

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-08-30

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
I20170830000906INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1918$0
99213Established patient office or other outpatient visit, 20-29 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 33912)

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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: 9335672146View full group profile
NameSpecialtyState
Neurology, Nephrology, PsychiatryFL
R H E U M A T O L O G YFL
Nurse PractitionerFL
Critical Care (Intensivists), Pediatric MedicineFL
General SurgeryMI
N E U R O L O G YMO
Cardiovascular Disease (Cardiology)FL
Physician AssistantFL
Medical Genetics And GenomicsMI
Physician AssistantRI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DORENE MARY MCCOY (APRN)?
DORENE MARY MCCOY (APRN) — NPI 1063934123 — is the standard way to identify this listing.
Is DORENE MARY MCCOY (APRN) listed as active for patients and plans?
The listing shows DORENE MARY MCCOY (APRN) as active in the NPI system.
What is DORENE MARY MCCOY (APRN)'s specialty?
The listing groups DORENE MARY MCCOY (APRN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does DORENE MARY MCCOY (APRN) list a practice location?
Patients near Fort Myers, Florida may find DORENE MARY MCCOY (APRN) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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