MR. JOHN DANIEL VANDEVELDE (PNP) – Pediatric Nurse Practitioner, NPI 1922089804
Pediatric Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. JOHN DANIEL VANDEVELDE (PNP)
Viscaya Parkway, Cape Coral, Lee County, Florida, 33990, United States
CAPE CORAL, FL 339903252
Phone: (239) 573-7337
Fax: (239) 574-5883
Type: Location
12730 NEW BRITTANY BLVD STE 602
FORT MYERS, FL 339074690
Phone: (239) 275-5522
Fax: (239) 275-4464
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $337.
Total Amount is formed as General ($337) + Research ($0) + Ownership ($0) = $337.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: IRONSHORE PHARMACEUTICALS INC. ($87).
Total Amount
$337
General + Research + Ownership
Payments
18
Total payment records
General Amount
$337
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| IRONSHORE PHARMACEUTICALS INC. | $87 |
| Ironshore Pharmaceuticals Inc. | $80 |
| Corium, LLC | $73 |
| PFIZER INC. | $41 |
| Merck Sharp & Dohme LLC | $37 |
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: 2017-06-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170627000932 | I | Nurse Practitioner | FL | TBD |
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.
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 33990)
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