Individual provider Active NPI

Andrew Lin, D.O.

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1033506175
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS22478 Issued in FL
Practice address
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone
(239) 208-2212
Fax
(239) 208-3994
NPI assigned
Apr 15, 2015
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X OS22478 FL Primary
Neurology Physician 2084N0400X 20A17256 CA
Neurology Physician 2084N0400X 2025036730 MO
Hospitalist Physician 208M00000X OS22478 FL

Addresses

Primary practice location

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Other practice location 1

1119 Cottonwood St
Woodland, CA 95695-4318
Phone (530) 668-2600

Other practice location 2

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 208-2212

Other practice location 3

2790 Clay Edwards Dr Ste 1235
North Kansas City, MO 64116-3276
Phone (816) 472-5157

Other identifiers 1

IdentifierTypeStateIssuer
127483300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MI, KY, FL, NH, OH, ND, MO, NY, GA10 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
I20200103002456 CA Practitioner - Neurology 1052625126 Reassigns benefits to 8 organizations
I20250527002323 MI Practitioner - Neurology 1052625126 Reassigns benefits to 1 organization
I20250611002000 KY Practitioner - Neurology 1052625126 Reassigns benefits to 1 organization
I20250710000080 FL Practitioner - NeurologyPractitioner - Hospitalist 1052625126 Reassigns benefits to 2 organizations
I20250805001833 NH Practitioner - Neurology 1052625126 Reassigns benefits to 4 organizations
I20250806000948 OH Practitioner - Neurology 1052625126 Reassigns benefits to 1 organization
I20250808002142 ND Practitioner - Neurology 1052625126 Reassigns benefits to 1 organization
I20251010000556 MO Practitioner - Neurology 1052625126 Reassigns benefits to 1 organization
I20251014001895 NY Practitioner - Neurology 1052625126 Reassigns benefits to 5 organizations
I20251121002579 GA Practitioner - NeurologyPractitioner - Hospitalist 1052625126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Hospitalist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians
Virtual Neurology Texas PLLCGroup PAC ID 3779910047, 151 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

11190 Health Park Blvd
Naples, FL 34110-5729
Phone (239) 552-7000

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000

1300 S Columbia Rd
Grand Forks, ND 58201-4012
Phone (701) 780-5000

1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600

19160 Twig LN
Cupertino, CA 95014-3549
Phone (239) 208-2212

2790 Clay Edwards Dr
Suite 1235
North Kansas City, MO 64116-3276
Phone (816) 691-1221

35 Collier Rd NW
Suite 635
Atlanta, GA 30309-1611
Phone (404) 367-3000

350 Hospital Dr
Macon, GA 31217-3838
Phone (470) 788-1010

80 Highland St
Laconia, NH 03246-3235
Phone (603) 527-2819

913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-5275

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-2606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
17256CAMDMental Health Counselor
86823GAMDEmergency Medicine Physician
20A17256CAMDNeurology Physician
2025036730MOMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Meritas Health Corporation Neurology CurrentSince Dec 1, 2025 Accepting new patients
Nchmd, Inc CurrentSince Jun 26, 2025 Accepting new patients
Altru Health System Family Medicine CurrentSince Jul 25, 2025 Accepting new patients
Concord Hospital-Laconia Family Medicine CurrentSince May 25, 2025 Accepting new patients
Regents of the University of California CurrentSince Nov 1, 2019 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 1, 2025 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Oct 5, 2025 Accepting new patients
Mercy Medical Center CurrentSince Sep 23, 2025 Accepting new patients
Altru Health System CurrentSince Jul 25, 2025 Accepting new patients
Mercy Medical Center CurrentSince Sep 23, 2025 Accepting new patients
Concord Hospital, Inc. CurrentSince May 25, 2025 Accepting new patients
Summit Healthcare Association Neurology CurrentSince Jul 1, 2025 Accepting new patients
St. Catherine of Siena Medical Center CurrentSince Sep 23, 2025 Accepting new patients
Concord Hospital, Inc. CurrentSince May 25, 2025 Accepting new patients
County of Santa Clara CurrentSince Jun 26, 2025 Accepting new patients
Virtual Neurology PC Neurology CurrentSince Apr 27, 2025 Accepting new patients
Regents of the Univ of Ca Neurology CurrentSince Nov 1, 2019 Accepting new patients
North Mississippi Medical Center Inc. Neurology CurrentSince Jun 15, 2025 Accepting new patients
St Joseph Hospital of Nashua NH Family Medicine CurrentSince Oct 5, 2025 Accepting new patients
Virtual Neurology Texas PLLC Neurology CurrentSince Nov 18, 2025 Accepting new patients
Regents of the Univ of Ca CurrentSince Nov 1, 2019 Accepting new patients
St Charles Hospital Corp CurrentSince Sep 23, 2025 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
Lakeland Medical Practices CurrentSince Apr 16, 2025 Accepting new patients
Piedmont Hospitalist Physicians LLC Family Medicine CurrentSince Sep 20, 2025 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Sep 23, 2025 Accepting new patients
Lakeland Medical Practices CurrentSince Apr 16, 2025 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince Sep 20, 2025 Accepting new patients
Mercy Medical Center Current Accepting new patients
Kettering Independent Medical Group Inc Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Meritas Health Corporation Neurology CurrentSince Dec 1, 2025 Accepting new patients
Lee Health System Inc CurrentSince Sep 20, 2025 Accepting new patients
County of Santa Clara Current Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
Virtual Neurology, LLC Neurology CurrentSince May 4, 2025 Accepting new patients
Meritas Health Corporation Family Medicine Current Accepting new patients
Nchmd Inc Current Accepting new patients
St. Joseph Hospital CurrentSince Sep 23, 2025 Accepting new patients
County of Santa Clara CurrentSince Jun 26, 2025 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Jun 15, 2025 Accepting new patients
Baptist Health Medical Group Inc Family Medicine Current Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Jun 26, 2025 Accepting new patients
Lee Health System Inc Family Medicine CurrentSince Sep 20, 2025 Accepting new patients
Regents of the University of California CurrentSince Nov 1, 2019 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 1, 2025 Accepting new patients
Piedmont Athens Specialty Care LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Benefis Hospitals Inc Past Accepting new patients

Locations (25 of 43)

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

8110 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3955

9390 Big Horn Blvd
Elk Grove, CA 95758
Phone (916) 683-3950

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

11215 Metro Pkwy
Bldg 3
Fort Myers, FL 33966
Phone (470) 816-5071

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: alin3034708@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 49

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.

View all 49

Hospital & facility affiliations 5

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": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1033506175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212",
            "fax_number": "239-208-3994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1119 Cottonwood St",
            "address_purpose": "LOCATION",
            "city": "Woodland",
            "state": "CA",
            "postal_code": "956954318",
            "country_code": "US",
            "telephone_number": "530-668-2600",
            "fax_number": "530-669-5434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9981 S Healthpark Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083618",
            "country_code": "US",
            "telephone_number": "239-208-2212",
            "fax_number": "239-935-5067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2790 Clay Edwards Dr Ste 1235",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163276",
            "country_code": "US",
            "telephone_number": "816-472-5157",
            "fax_number": "816-472-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "ANDREW",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-15",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS22478",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "20A17256",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2025036730",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "OS22478",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127483300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.