ESTELLA M KIDWELL – Neurology Physician, NPI 1184696122

ESTELLA M KIDWELL is a healthcare provider. based in Fort myers, Florida. specializing in Neurology Physician. They hold a License No. ME163112 (FL). The NPI Number for ESTELLA M KIDWELL is 1184696122

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
ESTELLA M KIDWELL
NPI
1184696122
Phone
(239) 208-2212
Address
11215 Metro Pkwy Ste 1
Enumeration Date
3 February 2006
Last Update Date
19 February 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
5206945437
Graduation Year
1992 (34 years ago)
PAC ID
1456398056
Group Practice PAC ID
7719899871
Professional Enrollment ID
I20140425001071
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

Provider Addresses for ESTELLA M KIDWELL

  • 11215 Metro Pkwy Ste 1

    Fort Myers, FL 339661206

    Phone: (239) 208-2212

    Type: Location

  • 630 Eaton Ave

    Hamilton, OH 450132767

    Phone: (513) 867-2000

    Fax: (513) 867-2119

    Type: Location

  • 6, North Campbell Avenue, Sam Hughes, Tucson, Pima County, Arizona, 85719, United States

    DEPARTMENT OF NEUROLOGY, 6TH FLOOR

    TUCSON, AZ 85721

    Phone: (520) 694-8888

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-04-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20230531002947INeurologyMITBD
I20230619000546INeurologyNDTBD
I20230811001071INeurologyGATBD
I20230922003863INeurologyMSTBD
I20240119001767INeurologyFLTBD
I20240418002701INeurologyIATBD

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
G0508Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth1414$0
View full utilization report →

Insurance plans in this area (ZIP 33966)

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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: 7719899871View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
-AZ
O B S T E T R I C S/ G Y N E C O L O G YCA
Clinical PsychologistAZ
O P H T H A L M O L O G YMN
N E U R O S U R G E R YAZ
Internal MedicineAZ
-MI
Emergency MedicineAZ
Nurse PractitionerAZ

Reviews

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Frequently asked questions

Can I verify ESTELLA M KIDWELL with an NPI only?
You can start verification with NPI 1184696122 for ESTELLA M KIDWELL, then check state licensing separately.
Is ESTELLA M KIDWELL listed as active for patients and plans?
The listing shows ESTELLA M KIDWELL as active in the NPI system.
What healthcare role does ESTELLA M KIDWELL hold?
Scheduling teams often label ESTELLA M KIDWELL under Neurology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for ESTELLA M KIDWELL?
ESTELLA M KIDWELL's geographic hint is Fort Myers, Florida in our summary view.
Why does ESTELLA M KIDWELL have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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