Individual provider Active NPI

Andrew Hodulik, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1114766623
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11033158 Issued in FL
Practice address
14551 Hope Center Loop Ste 200
Fort Myers, FL 33912-4705
Phone
(239) 264-7026
Fax
(239) 567-3679
NPI assigned
May 23, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11033158 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X RN9494162 FL
Nurse Practitioner 363L00000X APRN11033158 FL

Addresses

Primary practice location

14551 Hope Center Loop Ste 200
Fort Myers, FL 33912-4705

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (855) 963-2100

Other practice location 1

326 Del Prado Blvd N Ste 301
Cape Coral, FL 33909-2288
Phone (239) 217-8011

Other practice location 2

326 Del Prado Blvd N Ste 102
Cape Coral, FL 33909-2288
Phone (239) 217-8011

Other identifiers 1

IdentifierTypeStateIssuer
122890100MedicaidFL

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
I20240628002148 FL Practitioner - Nurse Practitioner 3577007798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

14551 Hope Ctr Loop
Suite 200
Fort Myers, FL 33912-4705
Phone (239) 264-7026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11033158FLMDNurse Practitioner
RN9494162FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
American Oncology Partners PA Nurse Practitioner CurrentSince Apr 28, 2025 Accepting new patients
American Oncology Partners, P.a. PastSince Jul 13, 2025 Accepting new patients

Locations

326 Del Prado Blvd N
Ste 301
Cape Coral, FL 33909
Phone (239) 217-8011

326 Del Prado Blvd N
Ste 102
Cape Coral, FL 33909
Phone (239) 217-8011

14551 Hope Center Loop
Ste 200
Fort Myers, FL 33912
Phone (239) 264-7026

2848 Center Pointe Dr
Fl 2
Fort Myers, FL 33916
Phone (239) 318-6284

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.

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1114766623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "855-963-2100",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14551 HOPE CENTER LOOP STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124705",
            "telephone_number": "239-264-7026",
            "fax_number": "239-567-3679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 Del Prado Blvd N Ste 301",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339092288",
            "country_code": "US",
            "telephone_number": "239-217-8011",
            "fax_number": "239-221-0278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "326 Del Prado Blvd N Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339092288",
            "country_code": "US",
            "telephone_number": "239-217-8011",
            "fax_number": "239-221-0278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODULIK",
        "first_name": "ANDREW",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-23",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11033158",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "RN9494162",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11033158",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122890100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.