Unknown Individual – Nurse Practitioner, NPI 1114983269
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 102222
ATLANTA, GA 303682222
Phone: (239) 274-8200
Type: Mailing
Veronica S Shoemaker Blvd, Fort Myers, Lee County, Florida, 33916, United States
ATTN: CREDENTIALING DEPT
FORT MYERS, FL 339162216
Phone: (239) 274-8200
Type: Mailing
9832, US Highway 441, Leesburg, Lake County, Florida, 34788, United States
SUITE 101
LEESBURG, FL 347883984
Phone: (352) 787-3341
Fax: (352) 787-7491
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $136.
Total Amount is formed as General ($136) + Research ($0) + Ownership ($0) = $136.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Pharmacyclics LLC, an AbbVie Company ($47).
Total Amount
$136
General + Research + Ownership
Payments
6
Total payment records
General Amount
$136
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pharmacyclics LLC, an AbbVie Company | $47 |
| Gilead Sciences, Inc. | $26 |
| BeiGene USA, Inc. | $23 |
| Stemline Therapeutics Inc. | $22 |
| ABBVIE INC. | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 30368)
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