Individual provider Active NPI

Violeta Fay Marie Calhoun, APRN

  • Acute Care Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1003160086
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN9266857 Issued in FL
Practice address
9369 Golden Rain LN
Fort Myers, FL 33967-5136
Phone
(239) 410-6584
Fax
(727) 954-6546
NPI assigned
Oct 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X APRN9266857 FL Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X APRN9266857 FL

Addresses

Primary practice location

9369 Golden Rain LN
Fort Myers, FL 33967-5136

Mailing address

9369 Golden Rain LN
Fort Myers, FL 33967-5136
Phone (239) 410-6584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121228000146 FL Practitioner - Nurse Practitioner 5193978070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 Matthew Dr
Fort Myers, FL 33907-1700
Phone (239) 275-6067

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9266857FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Pmra LLC Multi-Specialty CurrentSince Mar 15, 2021 Accepting new patients

Locations

1600 Matthew Dr
Fort Myers, FL 33907
Phone (239) 200-2711

3050 Champion Ring Rd
Fort Myers, FL 33905
Phone (239) 313-2900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1003160086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9369 GOLDEN RAIN LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339675136",
            "telephone_number": "239-410-6584",
            "fax_number": "727-594-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9369 GOLDEN RAIN LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339675136",
            "telephone_number": "239-410-6584",
            "fax_number": "727-954-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "VIOLETA",
        "middle_name": "FAY MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN9266857",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "APRN9266857",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.