NINA BRYAN – Mental Health Counselor, NPI 1962941401

NINA BRYAN is a healthcare provider. based in Fort myers, Florida. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for NINA BRYAN is 1962941401

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
NINA BRYAN
NPI
1962941401
Phone
(239) 275-3222
Address
3763 EVANS AVE
Enumeration Date
16 February 2017
Last Update Date
17 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7723322635
Graduation Year
2017 (9 years ago)
PAC ID
9335672187
Group Practice PAC ID
6608153911
Professional Enrollment ID
I20241031002318
Address ID
FL329632258VE1702XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

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Provider Addresses for NINA BRYAN

  • 3763, Evans Avenue, Fort Myers, Lee County, Florida, 33901, United States

    FORT MYERS, FL 339019302

    Phone: (239) 275-3222

    Mailing address matches the actual address.

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: 2024-10-31

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
I20241031002318IMental Health CounselorFLTBD

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 33901)

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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: 6608153911View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Clinical Social WorkerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is there an official ID for NINA BRYAN in U.S. healthcare records?
The official identifier for NINA BRYAN is NPI 1962941401.
Is NINA BRYAN still an active registrant?
NINA BRYAN carries an active NPI according to the public dataset.
What area of care is associated with NINA BRYAN?
NINA BRYAN's record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for NINA BRYAN?
Travel planning: use Fort Myers, Florida as the reference point for NINA BRYAN, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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