Individual provider Active NPI

Corinne Ann Carmona, A.P.N

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1023260643
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11021115 Issued in FL
Practice address
13770 Plantation Rd # 103
Fort Myers, FL 33912-4460
Phone
(941) 444-0011
Fax
(603) 952-3900
NPI assigned
Oct 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11021115 FL Primary
Nurse Practitioner 363L00000X APRN11021115 FL
Family Nurse Practitioner 363LF0000X 26NN08805600 NJ

Addresses

Primary practice location

13770 Plantation Rd # 103
Fort Myers, FL 33912-4460

Mailing address

1420 Lakefront Dr Unit 3412
Sarasota, FL 34240-1608
Phone (201) 506-3473

Other practice location 1

1131 S Orange Ave
Orlando, FL 32806-1226
Phone (941) 444-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121226000125 NJ Practitioner - Nurse Practitioner 1254584261 Reassigns benefits to 1 organization
I20250923000717 FL Practitioner - Nurse Practitioner 1254584261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onspot-FLGroup PAC ID 3678984937, 43 clinicians

Practice addresses (Care Compare)

13770 Plantation Rd
Suite 103
Fort Myers, FL 33912-4460
Phone (941) 444-0011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11021115FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Onspot-FL CurrentSince Sep 15, 2025 Accepting new patients
MVP Medical Practice PC PastSince Sep 15, 2025 Accepting new patients

Locations

13770 Plantation Rd
#103
Fort Myers, FL 33912

16461 Domestic Ave
Fort Myers, FL 33912
Phone (772) 667-7688

1131 S Orange Ave
Orlando, FL 32806
Phone (407) 237-6333

Organizations & group practices 3

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": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1023260643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 LAKEFRONT DR UNIT 3412",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342401608",
            "telephone_number": "201-506-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13770 PLANTATION RD # 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124460",
            "telephone_number": "941-444-0011",
            "fax_number": "603-952-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1131 S Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061226",
            "country_code": "US",
            "telephone_number": "941-444-0011",
            "fax_number": "603-952-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMONA",
        "first_name": "CORINNE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "A.P.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11021115",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11021115",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NN08805600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.