Individual provider Active NPI

Christina Lee Morales, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1285295139
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11002827 Issued in FL
Practice address
16461 Domestic Avenue
Fort Myers, FL 33912-3391
Phone
(772) 667-7688
Fax
(603) 952-3900
NPI assigned
Jun 21, 2019
Last updated
Nov 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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 11002827 FL Primary

Addresses

Primary practice location

16461 Domestic Avenue
Fort Myers, FL 33912-3391

Mailing address

16461 Domestic Avenue
Fort Myers, FL 33912-6008
Phone (772) 667-7688

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
I20190909000212 FL Practitioner - Nurse Practitioner 6305175944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ocean Dermatology LLCGroup PAC ID 3779729603, 14 clinicians

Practice addresses (Care Compare)

1004 N Parrott Ave
Okeechobee, FL 34972-2110
Phone (863) 226-5466

27612 Cashford Cir
Suite 102
Wesley Chapel, FL 33544-6954
Phone (813) 991-1457

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11002827FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leavitt Medical Associates of Florida Inc CurrentSince Feb 1, 2026 Accepting new patients
Leavitt Medical Associates of Florida Inc CurrentSince Feb 1, 2026 Accepting new patients
Blue Ocean Dermatology LLC CurrentSince Feb 1, 2023 Accepting new patients
Blue Ocean Deramtology LLC PastSince Aug 25, 2025 Accepting new patients
Blue Ocean Deramtology LLC PastSince Aug 25, 2025 Accepting new patients
Dermatology on the Spot, LLC PastSince Feb 1, 2023 Accepting new patients
Blue Ocean Deramtology LLC PastSince Aug 25, 2025 Accepting new patients

Locations

1905 Clint Moore Rd
Ste 103
Boca Raton, FL 33496
Phone (561) 241-4474

2672 Lpga Blvd
Daytona Beach, FL 32124
Phone 3862561444 ext. 505

105 N Duss St
New Smyrna Beach, FL 32168
Phone 3862561444 ext. 505

1004 N Parrott Ave
Okeechobee, FL 34972
Phone (863) 357-7447

1425 Hand Ave
Ste C
Ormond Beach, FL 32174
Phone 3862561444110

1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100

57 Town Ct
Ste 119
Palm Coast, FL 32164
Phone 3862561444 ext. 505

3951 S Nova Rd
Ste 3
Port Orange, FL 32127

3951 S Nova Rd
Pt Orange, FL 32127
Phone (386) 763-4484

4110 US 27 N
Ste 102
Sebring, FL 33870

1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812

27612 Cashford Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 991-1457

1840 Greenwich Ave
Winter Park, FL 32789
Phone (407) 644-4212

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: christina@blueoceanderm.emadirect.md

Organizations & group practices 7

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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1285295139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16461 DOMESTIC AVENUE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339126008",
            "telephone_number": "772-667-7688",
            "fax_number": "603-952-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16461 DOMESTIC AVENUE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339123391",
            "telephone_number": "772-667-7688",
            "fax_number": "603-952-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "CHRISTINA",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.