Individual provider Active NPI

Jean Hershey Fitch, ARNP

  • Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1033315213
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 9240853 Issued in FL
Practice address
Florida Gulf Coast University Student Health Services
10501 Fgcu Boulevard South
Fort Myers, FL 33965-6565
Phone
(239) 590-7966
NPI assigned
Jun 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP 9240853 FL Primary

Addresses

Primary practice location

Florida Gulf Coast University Student Health Services
10501 Fgcu Boulevard South
Fort Myers, FL 33965-6565

Mailing address

9246 Estero River Cir
Estero, FL 33928-4417
Phone (239) 470-8011

Other names 1

  • Jean Helen Hershey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
ARNP 9240853FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Healthcare, PLLC PastSince Apr 1, 2013 Accepting new patients
Florida Gulf Coastuniversity Wellness Center Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033315213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9246 ESTERO RIVER CIR",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339284417",
            "telephone_number": "239-470-8011",
            "fax_number": "239-590-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FLORIDA GULF COAST UNIVERSITY STUDENT HEALTH SERVICES",
            "address_2": "10501 FGCU BOULEVARD SOUTH",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339656565",
            "telephone_number": "239-590-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH",
        "first_name": "JEAN",
        "middle_name": "HERSHEY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 9240853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "HERSHEY",
            "middle_name": "HELEN",
            "credential": "9240853ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.