Active NPI
Vanessa Jill Levine, NP
- Nurse Practitioner
- Cape Coral, FL
National Provider Identifier
1114483906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11007563
- Practice address
- 407 Cape Coral Pkwy W
Cape Coral, FL 33914-6521 - Phone
- (239) 376-0800
- NPI assigned
- Feb 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN270524 | GA | |
| Nurse Practitioner | 363L00000X | 11007563 | FL | Primary |
Addresses
Primary practice location
407 Cape Coral Pkwy W
Cape Coral, FL 33914-6521
Mailing address
4105 W Riverside Dr
Fort Myers, FL 33901-8732
Phone (269) 501-4613
Other practice location 1
3507 Lee Blvd Ste 107
Lehigh Acres, FL 33971-1303
Phone (239) 368-8071
Other practice location 2
8800 Bernwood Pkwy Ste 6
Bonita Springs, FL 34135-9527
Phone (239) 464-1433
Other practice location 3
1360 Upper Hembree Rd Ste 201B
Roswell, GA 30076-1230
Phone (770) 475-3361
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11007563 | FL | MD | Nurse Practitioner |
Organizations & group practices 1
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.
-
- Dermatology Physician
- Lehigh Acres, FL
- NPI 1487049722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1114483906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4105 W RIVERSIDE DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339018732",
"telephone_number": "269-501-4613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 CAPE CORAL PKWY W",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339146521",
"telephone_number": "239-376-0800"
}
],
"practiceLocations": [
{
"address_1": "3507 Lee Blvd Ste 107",
"address_purpose": "LOCATION",
"city": "Lehigh Acres",
"state": "FL",
"postal_code": "339711303",
"country_code": "US",
"telephone_number": "239-368-8071",
"fax_number": "239-368-8074",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8800 Bernwood Pkwy Ste 6",
"address_purpose": "LOCATION",
"city": "Bonita Springs",
"state": "FL",
"postal_code": "341359527",
"country_code": "US",
"telephone_number": "239-464-1433",
"fax_number": "239-368-8074",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1360 Upper Hembree Rd Ste 201B",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "GA",
"postal_code": "300761230",
"country_code": "US",
"telephone_number": "770-475-3361",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVINE",
"first_name": "VANESSA",
"middle_name": "JILL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-16",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN270524",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11007563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.