Individual provider Active NPI

Carolina Pavon, APRN - FNP, BC

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1053951996
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005098 Issued in FL
Practice address
313 SW Pine Island Rd
Cape Coral, FL 33991-2043
Phone
(239) 458-6755
NPI assigned
Jan 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11005098 FL Primary

Addresses

Primary practice location

313 SW Pine Island Rd
Cape Coral, FL 33991-2043

Mailing address

313 SW Pine Island Rd
Cape Coral, FL 33991-2043
Phone (239) 458-6755

Other practice location 1

2026 NW 11th Ct
Cape Coral, FL 33993-3900
Phone (786) 547-5149

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
I20220408001975 FL Practitioner - Nurse Practitioner 1850787318 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Precision Healthcare Specialists, LLCGroup PAC ID 6103284955, 129 clinicians

Practice addresses (Care Compare)

9776 Bonita Beach Rd SE
Suite 202a
Bonita Springs, FL 34135-4775
Phone (239) 206-1668

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11005098FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Aug 22, 2023 Accepting new patients
Dispatchhealth-Florida Inc. CurrentSince Jun 1, 2024 Accepting new patients
The Heart Institute of Venice PLLC CurrentSince Oct 23, 2025 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince Mar 27, 2023 Accepting new patients
Best Care Community and Family Health Center Inc CurrentSince Dec 26, 2021 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince Mar 27, 2023 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Aug 22, 2023 Accepting new patients
Dwic of Tampa Bay, Inc. Current Accepting new patients
Precision Healthcare Specialists, LLC CurrentSince Dec 15, 2025 Accepting new patients
Dwic of Tampa Bay, Inc CurrentSince Aug 22, 2023 Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Aug 22, 2023 Accepting new patients
Cepero Pediatrics, P.a. PastSince Jan 1, 2020 Accepting new patients
Dispatchhealth-Florida Inc. PastSince Aug 1, 2021 Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Locations

9776 Bonita Beach Rd SE
Ste 202A
Bonita Springs, FL 34135
Phone (239) 206-1668

7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200

14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255

1206 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 226-2727

7925 NW 12th St
Ste 129
Doral, FL 33126
Phone (786) 644-6413

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

12995 S Cleveland Ave
Ste 184
Fort Myers, FL 33907
Phone (239) 226-2727

8270 College Pkwy
Ste 103
Fort Myers, FL 33919
Phone (239) 322-3434

13691 Metro Pkwy
Ste 300
Fort Myers, FL 33912
Phone (239) 291-6970

8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150

1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020

2718 Lee Blvd
Ste B
Lehigh Acres, FL 33971
Phone (239) 288-0840

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

3200 SW 34th Ave
Ste 702
Ocala, FL 34474

1603 S Hiawassee Rd
Ste 130
Orlando, FL 32835
Phone (407) 743-5360

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

5421 Beaumont Center Blvd
Ste 660
Tampa, FL 33634
Phone (813) 551-1015

2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637

1370 E Venice Ave
Ste 102
Venice, FL 34285

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1053951996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 SW PINE ISLAND RD",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339912043",
            "telephone_number": "239-458-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 SW PINE ISLAND RD",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339912043",
            "telephone_number": "239-458-6755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2026 NW 11th Ct",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339933900",
            "country_code": "US",
            "telephone_number": "786-547-5149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVON",
        "first_name": "CAROLINA",
        "credential": "APRN - FNP, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.