Individual provider Active NPI

Malise Ann Novotny, APRN

  • Family Nurse Practitioner
  • Bonita Springs, FL
National Provider Identifier
1205433687
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11009559 Issued in FL
Practice address
9776 Bonita Beach Rd SE Ste 201a
Bonita Springs, FL 34135-4775
Phone
(239) 947-3092
Fax
(239) 947-5298
NPI assigned
Oct 8, 2020
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11009559 FL Primary

Addresses

Primary practice location

9776 Bonita Beach Rd SE Ste 201a
Bonita Springs, FL 34135-4775

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

8440 Murano Del Lago Dr
Estero, FL 34135-8615
Phone (239) 221-5402

Other practice location 2

3530 Kraft Rd Ste 300
Naples, FL 34105-5020
Phone (239) 353-6636

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
I20201202001297 FL Practitioner - Nurse Practitioner 1850702564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Infusions LLCGroup PAC ID 6608054044, 102 clinicians

Practice addresses (Care Compare)

3540 Pine Ridge Rd
Suite 2
Naples, FL 34109-3943
Phone (239) 544-3151

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Infusions, LLC Nurse Practitioner CurrentSince Oct 20, 2025 Accepting new patients
Innovative Infusions, LLC Nurse Practitioner CurrentSince Oct 20, 2025 Accepting new patients
Innovative Infusions, LLC. Nurse Practitioner Current Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Oct 18, 2020 Accepting new patients

Locations

9776 Bonita Beach Rd SE
Ste 201A
Bonita Springs, FL 34135
Phone (239) 947-3092

2160 Gulf To Bay Blvd
Clearwater, FL 33765
Phone (727) 387-3092

8440 Murano del Lago Dr
Estero, FL 34135
Phone (239) 221-5402

16431 Corporate Commerce Way
Ste 106
Fort Myers, FL 33913
Phone (239) 722-5022

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

3530 Kraft Rd
Ste 300
Naples, FL 34105
Phone (239) 353-6636

3540 Pine Ridge Rd
Ste 2
Naples, FL 34109
Phone (239) 544-3151

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1205433687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9776 BONITA BEACH RD SE STE 201A",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354775",
            "telephone_number": "239-947-3092",
            "fax_number": "239-947-5298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8440 Murano Del Lago Dr",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "341358615",
            "country_code": "US",
            "telephone_number": "239-221-5402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3530 Kraft Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341055020",
            "country_code": "US",
            "telephone_number": "239-353-6636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVOTNY",
        "first_name": "MALISE",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11009559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

Verify at the official NPI Registry.