Individual provider Active NPI

Yamilet Alberto Moya, NP

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1225702491
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11014497 Issued in FL
Practice address
4901 Palm Beach Blvd Unit 400
Fort Myers, FL 33905-3235
Phone
(239) 237-2133
Fax
(754) 222-6417
NPI assigned
Aug 2, 2021
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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 11014497 FL Primary

Addresses

Primary practice location

4901 Palm Beach Blvd Unit 400
Fort Myers, FL 33905-3235

Mailing address

4901 Palm Beach Blvd Unit 400
Fort Myers, FL 33905-3235
Phone (239) 237-2133

Other practice location 1

420 Del Prado Blvd N
Cape Coral, FL 33909-2211
Phone (239) 427-0933

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
I20240813004169 FL Practitioner - Nurse Practitioner 0941748602 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harvey S. Kleiner DO, LLCGroup PAC ID 1355523879, 10 clinicians

Practice addresses (Care Compare)

11390 Palm Beach Blvd
Suite 301B
Fort Myers, FL 33905-5921
Phone (239) 237-2133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11014497FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harvey S. Kleiner DO, LLC CurrentSince Jul 2, 2024 Accepting new patients
Infinity Healthcare Medical LLC CurrentSince Mar 1, 2025 Accepting new patients
Infinity Healthcare Cape Coral LLC PastSince May 1, 2024 Accepting new patients

Locations

217 Del Prado Blvd S
Ste 201
Cape Coral, FL 33990
Phone (239) 427-0933

11390 Palm Beach Blvd
Ste 301
Fort Myers, FL 33905

11390 Palm Beach Blvd
Ste 301B
Fort Myers, FL 33905
Phone (239) 237-2133

4901 Palm Beach Blvd
Unit 400
Fort Myers, FL 33905
Phone (239) 237-2133

2730 N State Road 7
Margate, FL 33063
Phone (561) 688-8917

8890 W Oakland Park Blvd
Ste 100
Sunrise, FL 33351
Phone (954) 228-2322

Organizations & group practices 3

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": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1225702491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 PALM BEACH BLVD UNIT 400",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339053235",
            "telephone_number": "239-237-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 PALM BEACH BLVD UNIT 400",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339053235",
            "telephone_number": "239-237-2133",
            "fax_number": "754-222-6417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Del Prado Blvd N",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339092211",
            "country_code": "US",
            "telephone_number": "239-427-0933",
            "fax_number": "754-222-6417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBERTO MOYA",
        "first_name": "YAMILET",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.