Individual provider Active NPI

Denise M McPherson, ARNP

  • Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1003970336
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2773892 Issued in FL
Practice address
5225 Clayton CT
Fort Myers, FL 33907-2117
Phone
(239) 343-8250
Fax
(239) 343-8249
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN 2773892 FL
Nurse Practitioner 363L00000X ARNP2773892 FL Primary

Addresses

Primary practice location

5225 Clayton CT
Fort Myers, FL 33907-2117

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-8250

Other practice location 1

12600 Creekside Ln
Suite 7
Fort Myers, FL 33919-3353
Phone (239) 343-9219

Other identifiers 2

IdentifierTypeStateIssuer
3081401000MedicaidFL
ARNP2773892OtherFLMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmcpherson6582@Direct.leememorial.org Lee Memorial Health System

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
I20070123000206 FL Practitioner - Nurse Practitioner 3779584529 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 2773892FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Memorial Health System Nurse Practitioner Current Accepting new patients
Lee Memorial Health System CurrentSince Jan 6, 2015 Accepting new patients
Coastal Premier Medical Care Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients
Central Ohio Hospitalists, Inc Past Accepting new patients

Locations

1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700

5225 Clayton Ct
Fort Myers, FL 33907
Phone (239) 343-8240

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

6870 Alister Way
Fort Myers, FL 33912
Phone (239) 217-4186

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

12600 Creekside Ln
Ste 7
Fort Myers, FL 33919
Phone (239) 343-9220

340 Tamiami Trl N
Naples, FL 34102

8980 49th St N
Pinellas Park, FL 33782
Phone (727) 546-4053

Interoperability endpoints

  • Direct secure messaging: dmcpherson6582@direct.leememorial.org
  • Direct secure messaging: denise.mcpherson@320892788015108.direct.elationemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1003970336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-8250",
            "fax_number": "239-343-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 CLAYTON CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072117",
            "telephone_number": "239-343-8250",
            "fax_number": "239-343-8249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12600 Creekside Ln",
            "address_2": "Suite 7",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339193353",
            "country_code": "US",
            "telephone_number": "239-343-9219",
            "fax_number": "239-343-9231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "DENISE",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN 2773892",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2773892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081401000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ARNP2773892",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmcpherson6582@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "Lee Memorial Health System",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.