Individual provider Active NPI

Vanessa Jill Levine, NP

  • Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1114483906
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11007563 Issued in FL
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

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200826001869 FL Practitioner - Nurse Practitioner 7517207616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11007563FLMDNurse 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.

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

Verify at the official NPI Registry.