Individual provider Active NPI

Jason P Farah, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1275308157
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11029814 Issued in FL
Practice address
14131 Metropolis Ave Ste 104
Fort Myers, FL 33912-4455
Phone
(239) 332-4099
Fax
(239) 332-4088
NPI assigned
Nov 20, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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 APRN11029814 FL Primary

Addresses

Primary practice location

14131 Metropolis Ave Ste 104
Fort Myers, FL 33912-4455

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (800) 480-5243

Other practice location 1

20291 Summerlin Rd Ste 105
Fort Myers, FL 33908-3759
Phone (239) 387-1540

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
I20240415003882 FL Practitioner - Nurse Practitioner 6901245562 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Medical Associates LLCGroup PAC ID 0648271155, 162 clinicians

Practice addresses (Care Compare)

14131 Metropolis Ave
Suite 104
Fort Myers, FL 33912-4455
Phone (239) 880-2521

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elitemedcare CurrentSince Jan 9, 2025 Accepting new patients
Florida Medical Associates LLC CurrentSince Jun 23, 2025 Accepting new patients
At Home MD CurrentSince Mar 1, 2024 Accepting new patients
John J Green DO PA PastSince May 25, 2025 Accepting new patients
Eternal Essence NP LLC Family PastSince Nov 1, 2023 Accepting new patients

Locations

14131 Metropolis Ave
Ste 104
Fort Myers, FL 33912
Phone (239) 332-4099

20291 Summerlin Rd
Ste 105
Fort Myers, FL 33908
Phone (239) 387-1540

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

2338 Immokalee Rd
Naples, FL 34110
Phone (239) 330-2933

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jason.farah@sl.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/12970/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

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": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1275308157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "800-480-5243",
            "fax_number": "800-928-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14131 METROPOLIS AVE STE 104",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124455",
            "telephone_number": "239-332-4099",
            "fax_number": "239-332-4088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20291 Summerlin Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083759",
            "country_code": "US",
            "telephone_number": "239-387-1540",
            "fax_number": "239-387-1541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARAH",
        "first_name": "JASON",
        "middle_name": "P",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.