Individual provider Active NPI

Kathleen Andrea McCarvell, APRN

  • Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1154500981
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
003604 Issued in CT
Practice address
12550 New Brittany Blvd
Fort Myers, FL 33907-5968
Phone
(239) 936-1114
Fax
(239) 936-5968
NPI assigned
Oct 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60785852 WA
Nurse Practitioner 363L00000X 003604 CT Primary

Addresses

Primary practice location

12550 New Brittany Blvd
Fort Myers, FL 33907-5968

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 424-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, WA, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080721000244 CT Practitioner - Nurse Practitioner 5193898419 Reassigns benefits to 4 organizations
I20190312001355 WA Practitioner - Nurse Practitioner 5193898419 Reassigns benefits to 1 organization
I20190415000674 AZ Practitioner - Nurse Practitioner 5193898419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bhcare, Inc.Group PAC ID 5193819308, 33 clinicians

Practice addresses (Care Compare)

435 E Main St
Ansonia, CT 06401-1964
Phone (203) 736-2601

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003604CTMDNurse Practitioner
AP60785852WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bhcare, Inc. CurrentSince May 6, 2017 Accepting new patients
Multicare Health System CurrentSince Jan 16, 2019 Accepting new patients
Multicare Health System Current Accepting new patients
Horizon Health and Wellness, Inc. Current Accepting new patients
Hartford Hospital CurrentSince Mar 1, 2018 Accepting new patients
Multicare Health System Physician Assistant CurrentSince Jan 16, 2019 Accepting new patients
Horizon Health and Wellness, Inc. CurrentSince Feb 18, 2019 Accepting new patients
Hartford Hospital CurrentSince Mar 1, 2018 Accepting new patients
Natchaug Hospital, Inc. CurrentSince Jul 21, 2018 Accepting new patients
Associated Specialists of Southeastern Connecticut, Inc. Past Accepting new patients
Columbia Community Mental Health Past Accepting new patients
State of Connecticut Past Accepting new patients
State of Connecticut PastSince Jan 1, 2002 Accepting new patients

Locations

625 N Plaza Dr
Apache Junction, AZ 85120
Phone (480) 282-6278

450 W Adamsville Rd
Florence, AZ 85132
Phone (520) 296-7169

435 E Main St
Ansonia, CT 06401
Phone (203) 736-2601

14 Sycamore Way
Branford, CT 06405
Phone (203) 483-2630

270 Farmington Ave
Ste 309
Farmington, CT 06032
Phone (860) 677-5570

189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311

127 Washington Ave
Ste 3W
North Haven, CT 06473

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/BHcare/r4/

Organizations & group practices 13

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.

View all 13

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": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1154500981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-424-1400",
            "fax_number": "239-424-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 NEW BRITTANY BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075968",
            "telephone_number": "239-936-1114",
            "fax_number": "239-936-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARVELL",
        "first_name": "KATHLEEN",
        "middle_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60785852",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "003604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.