Individual provider Active NPI

Amber Christine Loyson, M.D.

  • Pediatrics Physician
  • Lehigh Acres, FL
National Provider Identifier
1083906374
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME118932 Issued in FL
Practice address
5700 Lee Blvd
Lehigh Acres, FL 33971-6355
Phone
(239) 481-5437
Fax
(239) 481-0570
NPI assigned
May 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME118932 FL Primary

Addresses

Primary practice location

5700 Lee Blvd
Lehigh Acres, FL 33971-6355

Mailing address

12730 New Brittany Blvd Ste 602
Fort Myers, FL 33907-4690
Phone (239) 275-5522

Other practice location 1

1261 Viscaya Pkwy Ste 101
Cape Coral, FL 33990-3252
Phone (239) 573-7337

Other identifiers 1

IdentifierTypeStateIssuer
011062800MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251210004374 FL Practitioner - Pediatric Medicine 1254569338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Michigan State University College of Human Medicine, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12730 New Brittany Blvd
Suite 602
Fort Myers, FL 33907-4690

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME118932FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Primary Care of Southwest Florida PL Pediatrics CurrentSince Dec 1, 2025 Accepting new patients
Physicians Primary Care of Southwest Florida PL Pediatrics CurrentSince Dec 1, 2025 Accepting new patients
David a Mackoul, M.D., P.a. Pediatrics Past Accepting new patients

Locations

1265 Viscaya Pkwy
Cape Coral, FL 33990
Phone (239) 573-7337

1261 Viscaya Pkwy
Ste 101
Cape Coral, FL 33990
Phone (239) 573-7337

12730 New Brittany Blvd
Ste 602
Fort Myers, FL 33907
Phone (239) 275-5522

12730 New Brittany Blvd
Ste 200
Fort Myers, FL 33907
Phone (239) 275-5857

5700 Lee Blvd
Lehigh Acres, FL 33971
Phone (239) 481-5437

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13514/brand/1/csg/1/fhir/r4

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": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1083906374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12730 NEW BRITTANY BLVD STE 602",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074690",
            "telephone_number": "239-275-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 LEE BLVD",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339716355",
            "telephone_number": "239-481-5437",
            "fax_number": "239-481-0570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1261 Viscaya Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339903252",
            "country_code": "US",
            "telephone_number": "239-573-7337",
            "fax_number": "239-574-5883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOYSON",
        "first_name": "AMBER",
        "middle_name": "CHRISTINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME118932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011062800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.