Individual provider Active NPI

Alison Kroupa Lees, ARNP

  • Family Nurse Practitioner
  • Estero, FL
National Provider Identifier
1295965002
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9195796 Issued in FL
Practice address
10201 Arcos Ave
Suite 203
Estero, FL 33928-9459
Phone
(239) 390-3376
Fax
(239) 333-0474
NPI assigned
Jul 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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 ARNP 9195796 FL Primary

Addresses

Primary practice location

10201 Arcos Ave
Suite 203
Estero, FL 33928-9459

Mailing address

10201 Arcos Ave
Suite 203
Estero, FL 33928-9459
Phone (239) 390-3376

Other identifiers 1

IdentifierTypeStateIssuer
ARNP9195796OtherFLSTATE LICENSE #

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
I20091016000298 FL Practitioner - Nurse Practitioner 1355488776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Estero Dermatology and Skin Surgery Center, LLCGroup PAC ID 6103822176, 8 clinicians

Practice addresses (Care Compare)

10201 Arcos Ave
Suite 203
Estero, FL 33928-9461
Phone (239) 390-3376

Merit-based Incentive Payment System (MIPS)

Final score
92.5 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9195796FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Estero Dermatology & Skin Surgery Center, LLC CurrentSince Nov 3, 2009 Accepting new patients
Associates in Medicine & Surgery LLC Family CurrentSince Jun 28, 2021 Accepting new patients

Locations

10201 Arcos Ave
Ste 203
Estero, FL 33928
Phone (239) 390-3376

10200 Arcos Ave
Ste 201
Estero, FL 33928
Phone (239) 390-3376

3501 Health Center Blvd
Ste 2200
Estero, FL 34135
Phone (239) 390-3376

5100 Tamiami Trl N
Ste 102
Naples, FL 34103
Phone (239) 262-7546

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1295965002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 ARCOS AVE",
            "address_2": "SUITE 203",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289459",
            "telephone_number": "239-390-3376",
            "fax_number": "239-333-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 ARCOS AVE",
            "address_2": "SUITE 203",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289459",
            "telephone_number": "239-390-3376",
            "fax_number": "239-333-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEES",
        "first_name": "ALISON",
        "middle_name": "KROUPA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9195796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "ARNP9195796",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

Verify at the official NPI Registry.