Individual provider Active NPI

Wayne Isaacson, M.D.

  • Pain Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1215928189
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
ME71098 Issued in FL
Practice address
12900 Terabella Way
Fort Myers, FL 33912-0915
Phone
(239) 940-6463
Fax
(239) 494-8283
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X ME71098 FL Primary
General Practice Physician 208D00000X ME71098 FL

Addresses

Primary practice location

12900 Terabella Way
Fort Myers, FL 33912-0915

Mailing address

12900 Terabella Way
Fort Myers, FL 33912-0915
Phone (239) 940-6463

Other identifiers 2

IdentifierTypeStateIssuer
253173900MedicaidFL
32138OtherBLUE CROSS BLUE SHIELD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260422001497 FL Order and Referring Only - Pain ManagementPractitioner - General PracticePractitioner - Pain Management 1951318682

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Anesthesia and Pain Management Consultants, P.a. Past Accepting new patients
Southwest Florida Anesthesia, PA Pain Medicine Past Accepting new patients
Collier Anesthesia PA Past Accepting new patients
Wayne Isaacson MD Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: test.provider.p2@direct.painreliefcenters.nextgenshare.com
  • Direct secure messaging: test.provider.p4@direct.painreliefcenters.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1215928189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 TERABELLA WAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339120915",
            "telephone_number": "239-940-6463",
            "fax_number": "239-494-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 TERABELLA WAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339120915",
            "telephone_number": "239-940-6463",
            "fax_number": "239-494-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACSON",
        "first_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME71098",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME71098",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253173900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "32138",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.