Individual provider Active NPI

Patricia Tewis, ARNP

  • Nurse Practitioner
  • Naples, FL
National Provider Identifier
1164548657
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 2682842 Issued in FL
Practice address
5091 Coral Wood Dr
Naples, FL 34119-1457
Phone
(239) 353-7400
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP 2682842 FL Primary

Addresses

Primary practice location

5091 Coral Wood Dr
Naples, FL 34119-1457

Mailing address

5091 Coralwood Dr
Naples, FL 34119
Phone (239) 353-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101216000699 FL Practitioner - Nurse Practitioner 2264620335 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 2682842FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
On Call Wound Care, LLC Nurse Practitioner CurrentSince Jul 15, 2024 Accepting new patients

Locations

909 SE 47th Ter
Cape Coral, FL 33904
Phone (239) 292-7720

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164548657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5091 CORALWOOD DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34119",
            "telephone_number": "239-353-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5091 CORAL WOOD DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341191457",
            "telephone_number": "239-353-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEWIS",
        "first_name": "PATRICIA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 2682842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.