Active NPI
Scott L Kane, PA-C
- Physician Assistant
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9110199
- Practice address
- 4310 Metro Pkwy
Fort Myers, FL 33916-9462 - Phone
- (239) 223-2751
- Fax
- (239) 673-9102
- NPI assigned
- Aug 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110-004665 | VA | |
| Physician Assistant | 363A00000X | PA9110199 | FL | Primary |
Addresses
Primary practice location
4310 Metro Pkwy
Fort Myers, FL 33916-9462
Mailing address
4310 Metro Pkwy
Fort Myers, FL 33916-9462
Phone (239) 223-2751
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4310 Metro Pkwy
Suite 205
Fort Myers, FL 33916-9416
Phone (239) 223-2751
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.43 of 100
- Quality
- 74.02
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.26
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9110199 | FL | MD | Physician Assistant |
| 0110-004665 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FM RNC LLC | Current | Accepting new patients | |
| Bonita Springs Retirement Village, Inc. | Current | Accepting new patients | |
| Dna Comprehensive Therapy Services, LLC | Past | Accepting new patients |
Locations
2721 Del Prado Blvd S
Ste 200
Cape Coral, FL 33904
Phone (239) 458-6677
4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916
3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555
5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870
Interoperability endpoints
- scott.kane.1@13142.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fort Myers, FL
- NPI 1316363757
-
- Skilled Nursing Facility
- Bonita Springs, FL
- NPI 1700126802
-
- Skilled Nursing Facility
- Fort Myers, FL
- NPI 1497148720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1265625313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 METRO PKWY",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339169462",
"telephone_number": "239-223-2751",
"fax_number": "239-673-9102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4310 METRO PKWY",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339169462",
"telephone_number": "239-223-2751",
"fax_number": "239-673-9102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "SCOTT",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-22",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110-004665",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9110199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.