Individual provider Active NPI

Annie Rose Burnett, MD

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1164050605
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME167972 Issued in FL
Practice address
11215 Metro Pkwy Ste 100
Fort Myers, FL 33966-1206
Phone
(239) 208-2212
NPI assigned
Mar 30, 2020
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X 2024041782 MO
Neurology Physician 2084N0400X ME167972 FL Primary
Neurology Physician 2084N0400X 35.150592 OH
Neurology Physician 2084N0400X MD220231 OR
Neurology Physician 2084N0400X 73345 AZ
Neurology Physician 2084N0400X MD61556135 WA
Hospitalist Physician 208M00000X ME167972 FL

Addresses

Primary practice location

11215 Metro Pkwy Ste 100
Fort Myers, FL 33966-1206

Mailing address

2301 Erwin Rd
Durham, NC 27705-4699

Other practice location 1

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

Other practice location 2

2400 S Avenue A
Yuma, AZ 85364-7127
Phone (928) 344-2000

Other practice location 3

2790 Clay Edwards Dr Ste 1235
North Kansas City, MO 64116-3276
Phone (816) 472-5157

Other practice location 4

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-8407

Other practice location 5

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

Other names 1

  • Annie Rose Cavalier Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Direct Messaging Address acavalier631402@direct.ketteringhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, NY, OH, ND, OR, MO, NH, WA, GA, KY11 enrollments
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 11

Enrollment IDStateProvider typePAC IDDetails
I20240523002459 NC Practitioner - Neurology 4880036706 Reassigns benefits to 14 organizations
I20240613002131 FL Practitioner - Neurology 4880036706 Reassigns benefits to 2 organizations
I20240821004333 NY Practitioner - Neurology 4880036706 Reassigns benefits to 5 organizations
I20240823001675 OH Practitioner - Neurology 4880036706 Reassigns benefits to 1 organization
I20241011003624 ND Practitioner - Neurology 4880036706 Reassigns benefits to 1 organization
I20241106002877 OR Practitioner - Neurology 4880036706 Reassigns benefits to 2 organizations
I20241212003181 MO Practitioner - Neurology 4880036706 Reassigns benefits to 1 organization
I20241227000144 NH Practitioner - Neurology 4880036706 Reassigns benefits to 4 organizations
I20250220001672 WA Practitioner - Neurology 4880036706 Reassigns benefits to 1 organization
I20250228000542 GA Practitioner - Neurology 4880036706 Reassigns benefits to 2 organizations
I20251024004096 KY Practitioner - Neurology 4880036706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Wright State University Boonshoft School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Joseph HospitalGroup PAC ID 1254222938, 101 clinicians
Good Samaritan Hospital Medical CenterGroup PAC ID 5294639951, shared by 4 NPIs, 152 clinicians
St Charles Hospital CorpGroup PAC ID 6103733050, 62 clinicians
Virtual Neurology Texas PLLCGroup PAC ID 3779910047, 151 clinicians
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians
Virtual Neurology PCGroup PAC ID 4981087897, 57 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians
Onslow Memorial Hospital IncGroup PAC ID 1456252899, 65 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

Holly Springs, NC 27540
Phone (631) 862-3000

Durham, NC 27705
Phone (239) 208-2212

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000

15 Aiken Ave
Franklin, NH 03235-1259
Phone (603) 934-4249

1530 Sweetgrass TRL
Winston Salem, NC 27106-6278
Phone (239) 208-2212

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 230-3138

2790 Clay Edwards Dr
Suite 1235
North Kansas City, MO 64116-3276
Phone (816) 472-5157

305 Palmer Pointe Way
Holly Springs, NC 27540-5456
Phone (239) 208-2212

317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-2345

350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100

4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone (516) 579-6000

50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000

913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-5275

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-2606

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73345AZMDNeurology Physician
2024041782MOMDNeurology Physician
35.150592OHMDNeurology Physician
MD220231ORMDNeurology Physician
MD61556135WAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Neurology CurrentSince Feb 1, 2025 Accepting new patients
Nchmd, Inc CurrentSince Jun 1, 2024 Accepting new patients
Altru Health System CurrentSince Sep 26, 2024 Accepting new patients
Concord Hospital-Laconia CurrentSince Nov 20, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Mercy Medical Center CurrentSince Jul 31, 2024 Accepting new patients
Altru Health System CurrentSince Sep 26, 2024 Accepting new patients
Mercy Medical Center CurrentSince Jul 31, 2024 Accepting new patients
Concord Hospital, Inc. CurrentSince Nov 20, 2024 Accepting new patients
Summit Healthcare Association Neurology CurrentSince Aug 1, 2024 Accepting new patients
St. Catherine of Siena Medical Center CurrentSince Jul 31, 2024 Accepting new patients
Concord Hospital, Inc. CurrentSince Nov 20, 2024 Accepting new patients
Telespecialists North Carolina Neurology Services PLLC Neurology CurrentSince Aug 11, 2025 Accepting new patients
Virtual Neurology PC Neurology CurrentSince Jun 22, 2024 Accepting new patients
Legacy Salmon Creek Hospital Hospitalist CurrentSince Dec 15, 2024 Accepting new patients
Silverton Health Hospitalist CurrentSince Oct 30, 2024 Accepting new patients
North Mississippi Medical Center Inc. Neurology CurrentSince Dec 21, 2025 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Dec 23, 2025 Accepting new patients
Virtual Neurology Texas PLLC Neurology CurrentSince Apr 24, 2024 Accepting new patients
St Charles Hospital Corp CurrentSince Jul 31, 2024 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
Piedmont Hospitalist Physicians LLC Hospitalist CurrentSince Jan 1, 2025 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Jul 31, 2024 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince Jan 1, 2025 Accepting new patients
Mercy Medical Center Current Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Jul 23, 2024 Accepting new patients
Meritas Health Corporation Neurology CurrentSince Feb 1, 2025 Accepting new patients
Silverton Health Current Accepting new patients
Onslow Memorial Hospital Inc CurrentSince Apr 11, 2025 Accepting new patients
Lee Health System Inc CurrentSince Mar 1, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Dec 15, 2024 Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
Legacy Clinics LLC CurrentSince Oct 30, 2024 Accepting new patients
Virtual Neurology, LLC Neurology CurrentSince Apr 9, 2024 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Nchmd Inc Current Accepting new patients
Silverton Health CurrentSince Oct 30, 2024 Accepting new patients
Upson Medical Associates LLC CurrentSince Oct 20, 2024 Accepting new patients
St. Joseph Hospital CurrentSince Jul 31, 2024 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Dec 21, 2025 Accepting new patients
Legacy Clinics LLC Hospitalist CurrentSince Oct 30, 2024 Accepting new patients
Baptist Health Medical Group Inc Neurology Current Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Jun 1, 2024 Accepting new patients
Lee Health System Inc CurrentSince Mar 1, 2025 Accepting new patients
Virtual Neurology Kansas, LLC Neurology CurrentSince Oct 13, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Piedmont Athens Specialty Care LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations (25 of 43)

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

2790 Clay Edwards Dr
#1235
North Kansas City, MO 64116
Phone (816) 472-5157

2790 Clay Edwards Dr
Ste 1235
North Kansas City, MO 64116
Phone (816) 472-5157

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

248 Pleasant St
Ste 206
Concord, NH 03301
Phone (603) 230-7266

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

250 Pleasant St
Ste 1
Concord, NH 03301

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: acavalier230491@santaclaravalley.direct-ci.net
  • Direct secure messaging: acavalier2908932@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: acavalier631402@direct.ketteringhealth.org

Organizations & group practices 50

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 50

Hospital & facility affiliations 7

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1164050605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Erwin Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277054699",
            "country_code": "US",
            "telephone_number": "919-684-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 S Avenue A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647127",
            "country_code": "US",
            "telephone_number": "928-344-2000",
            "fax_number": "928-336-3215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2790 Clay Edwards Dr Ste 1235",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163276",
            "country_code": "US",
            "telephone_number": "816-472-5157",
            "fax_number": "816-472-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 N Gantenbein Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271623",
            "country_code": "US",
            "telephone_number": "503-413-8407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Eaton Ave",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450132767",
            "country_code": "US",
            "telephone_number": "513-867-2000",
            "fax_number": "513-867-2119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "ANNIE",
        "middle_name": "ROSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2024041782",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME167972",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35.150592",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD220231",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "73345",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD61556135",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME167972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "630 Eaton Ave",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acavalier631402@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "630 Eaton Ave",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "CAVALIER",
            "middle_name": "ROSE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.