Individual provider Active NPI

Jill Ellen Edwards, CNM

  • Advanced Practice Midwife
  • Fort Myers, FL
National Provider Identifier
1356462006
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
C-APN.0101863-C-CNM Issued in FL
Practice address
9021 Park Royal Dr
Fort Myers, FL 33908-9617
Phone
(293) 432-5858
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X C-APN.0101863-C-CNM FL Primary

Addresses

Primary practice location

9021 Park Royal Dr
Fort Myers, FL 33908-9617

Mailing address

9021 Park Royal Dr
Fort Myers, FL 33908-9617
Phone (239) 432-5858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130219000200 WI Practitioner - Certified Nurse Midwife (CNM) 9931295847 Reassigns benefits to 1 organization
I20150312000265 FL Practitioner - Certified Nurse Midwife (CNM) 9931295847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

1265 Viscaya Pkwy
Cape Coral, FL 33990-3237
Phone (239) 574-2229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
C-APN.0101863-C-CNMFLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation CurrentSince Dec 13, 2012 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Florida Woman Care, LLC CurrentSince Jul 1, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Dec 13, 2012 Accepting new patients
Womencare PA Past Accepting new patients
Family Health Centers of Southwest Florida Inc Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

1265 Viscaya Pkwy
Cape Coral, FL 33990
Phone (239) 573-7337

1606 Santa Barbara Blvd
Cape Coral, FL 33991
Phone (239) 574-2229

9021 Park Royal Dr
Fort Myers, FL 33908
Phone (239) 432-5858

3230 Forum Blvd
Fort Myers, FL 33905
Phone (239) 432-5858

6400 W Newberry Rd
Ste 207
Gainesville, FL 32605
Phone (352) 371-2011

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jill.edwards.1@2183.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1356462006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9021 PARK ROYAL DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089617",
            "telephone_number": "239-432-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9021 PARK ROYAL DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089617",
            "telephone_number": "293-432-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JILL",
        "middle_name": "ELLEN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "C-APN.0101863-C-CNM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.