Individual provider Active NPI

Lynieta Lynn Leisure, ARNP

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1174555064
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11029666 Issued in FL
Practice address
13681 Doctors Way Ste 300
Fort Myers, FL 33912-4300
Phone
(239) 424-2602
Fax
(239) 424-4186
NPI assigned
Jul 7, 2006
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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 45086 KS
Family Nurse Practitioner 363LF0000X APRN11029666 FL Primary

Addresses

Primary practice location

13681 Doctors Way Ste 300
Fort Myers, FL 33912-4300

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 424-2602

Other practice location 1

415 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5528
Phone (954) 457-4333

Other identifiers 1

IdentifierTypeStateIssuer
116274800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lleisure673840@Direct.leememorial.org Direct LEE HEALTH SYSTEM INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050905000015 KS Practitioner - Nurse Practitioner 4082646609 Reassigns benefits to 1 organization
I20230109002962 FL Practitioner - Nurse Practitioner 4082646609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-2606

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11029666FLMDFamily Nurse Practitioner
45086KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Dec 2, 2022 Accepting new patients
Hospital District No 1 Crawford County CurrentSince Dec 11, 2018 Accepting new patients
MD Now Medical Centers Inc CurrentSince Dec 2, 2022 Accepting new patients
Hospital District No 1 Crawford County CurrentSince Dec 11, 2018 Accepting new patients
Lee Health System Inc CurrentSince Jul 10, 2025 Accepting new patients
Lee Health System Inc CurrentSince Jul 10, 2025 Accepting new patients
Fort Scott Family Medicine Family Past Accepting new patients

Locations

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

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

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

13681 Doctors Way
Ste 300
Fort Myers, FL 33912
Phone (239) 343-2052

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

415 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 457-4333

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

2200 Tamiami Trl
Port Charlotte, FL 33948
Phone (941) 613-0022

120 NW 400 Hwy
Cherokee, KS 66724
Phone (620) 457-8101

109 S Main St
Fort Scott, KS 66701
Phone (620) 223-7008

302 N Hospital Dr
Girard, KS 66743
Phone (620) 724-8291

307 N Hospital Dr
Ste 3
Girard, KS 66743
Phone (620) 724-6699

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lleisure673840@direct.leememorial.org

Organizations & group practices 7

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.

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1174555064",
    "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": "239-424-2602",
            "fax_number": "239-424-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13681 DOCTORS WAY STE 300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124300",
            "telephone_number": "239-424-2602",
            "fax_number": "239-424-4186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 E Hallandale Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Hallandale Beach",
            "state": "FL",
            "postal_code": "330095528",
            "country_code": "US",
            "telephone_number": "954-457-4333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEISURE",
        "first_name": "LYNIETA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45086",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116274800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lleisure673840@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "LEE HEALTH SYSTEM INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.