Individual provider Active NPI

Andrea Christie Magewick, APRN-C

  • Adult Health Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1275417149
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11041307 Issued in FL
Practice address
13470 Parker Commons Blvd Ste 101
Fort Myers, FL 33912-1850
Phone
(239) 379-8925
NPI assigned
Aug 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 11041307 FL Primary

Addresses

Primary practice location

13470 Parker Commons Blvd Ste 101
Fort Myers, FL 33912-1850

Mailing address

936 SW 28TH Ter
Cape Coral, FL 33914-4295
Phone (586) 668-1106

Other practice location 1

936 SW 28th Ter
Cape Coral, FL 33914-4295
Phone (586) 668-1106

Other practice location 2

15730 New Hampshire Ct Ste 101
Fort Myers, FL 33908-5539
Phone (586) 668-1106

Other practice location 3

6120 Winkler Rd Ste G
Fort Myers, FL 33919-8192
Phone (586) 668-1106

Other names 1

  • Andrea Christie Reid Former name

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
I20251211000073 FL Practitioner - Nurse Practitioner 9931693520

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15730 New Hampshire CT
Suite 103
Fort Myers, FL 33908-5539

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11041307FLMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1275417149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 SW 28TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339144295",
            "telephone_number": "586-668-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13470 PARKER COMMONS BLVD STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121850",
            "telephone_number": "239-379-8925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "936 SW 28th Ter",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339144295",
            "country_code": "US",
            "telephone_number": "586-668-1106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15730 New Hampshire Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339085539",
            "country_code": "US",
            "telephone_number": "586-668-1106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6120 Winkler Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339198192",
            "country_code": "US",
            "telephone_number": "586-668-1106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGEWICK",
        "first_name": "ANDREA",
        "middle_name": "CHRISTIE",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11041307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "REID",
            "middle_name": "CHRISTIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.