Individual provider Active NPI

Kathy Yessenia Claros

  • Family Nurse Practitioner
  • Estero, FL
National Provider Identifier
1073376844
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11030715 Issued in FL
Practice address
11241 Miromar Square Blvd
Estero, FL 33928-6229
Phone
(866) 389-2727
NPI assigned
Feb 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 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 11030715 FL Primary

Addresses

Primary practice location

11241 Miromar Square Blvd
Estero, FL 33928-6229

Mailing address

11241 Miromar Square Blvd
Estero, FL 33928-6229

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
I20240529001233 FL Practitioner - Nurse Practitioner 9436591955 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivx Health of Florida PAGroup PAC ID 8426470626, 47 clinicians
Prestige Outpatient Providers LLCGroup PAC ID 3870929615, 16 clinicians

Practice addresses (Care Compare)

2308 Pine Ridge Rd
Naples, FL 34109-2006
Phone (239) 213-3601

900 Imperial Golf Course Blvd
Naples, FL 34110-1085
Phone (239) 775-7715

Hospital & facility affiliations

  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11030715FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Outpatient Providers, LLC CurrentSince Feb 4, 2026 Accepting new patients

Locations

6135 Rattlesnake Hammock Rd
#R
Naples, FL 34113
Phone (239) 775-7715

6135 Rattlesnake Hammock Rd
Naples, FL 34113
Phone (239) 775-7661

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14267/brand/6/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1073376844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11241 MIROMAR SQUARE BLVD",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11241 MIROMAR SQUARE BLVD",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286229",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAROS",
        "first_name": "KATHY",
        "middle_name": "YESSENIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

Verify at the official NPI Registry.