Individual provider Active NPI

Erica L Staudinger, ARNP

  • Gerontology Nurse Practitioner
  • Naples, FL
National Provider Identifier
1356793624
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP9327066 Issued in FL
Practice address
11181 Health Park Blvd Ste 1165
Naples, FL 34110
Phone
(239) 624-0320
Fax
(239) 624-0321
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9327066 FL
Gerontology Nurse Practitioner 363LG0600X ARNP9327066 FL Primary

Addresses

Primary practice location

11181 Health Park Blvd Ste 1165
Naples, FL 34110

Mailing address

PO Box 8569
Naples, FL 34101-8569
Phone (239) 624-0400

Other identifiers 2

IdentifierTypeStateIssuer
IDDAGOtherFLFLORIDA BLUE
018916000MedicaidFL

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
I20161111000817 FL Practitioner - Nurse Practitioner 2769761923 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nchmd IncGroup PAC ID 9436139565, 503 clinicians

Practice addresses (Care Compare)

11181 Health Park Blvd
Suite 1165
Naples, FL 34110-5734
Phone (239) 624-0320

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9327066FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd Inc CurrentSince Apr 15, 2020 Accepting new patients
FL-I Medical Services, LLC Nurse Practitioner Current Accepting new patients
FL-I Medical Services LLC Nurse Practitioner CurrentSince Sep 22, 2016 Accepting new patients
FL-I Medical Services LLC Nurse Practitioner CurrentSince Sep 22, 2016 Accepting new patients
Nchmd, Inc CurrentSince Apr 15, 2020 Accepting new patients
Inpatient Medical Services, Inc CurrentSince Jan 1, 2017 Accepting new patients

Locations

2525 First St
Fort Myers, FL 33901
Phone (239) 332-3333

1154 Lee Blvd
Ste 3
Lehigh Acres, FL 33936
Phone (239) 230-2273

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

5175 Tamiami Trl E
Naples, FL 34113
Phone (239) 775-5050

11181 Health Park Blvd
Naples, FL 34110
Phone (239) 254-1316

11181 Health Park Blvd
Ste 1165
Naples, FL 34110
Phone (239) 514-2225

21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: erica.staudinger@hca5.eclinicaldirectplus.com
  • Direct secure messaging: estaudinger23287@nchhealthcaresystem.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1356793624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8569",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341018569",
            "telephone_number": "239-624-0400",
            "fax_number": "239-624-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11181 HEALTH PARK BLVD STE 1165",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34110",
            "telephone_number": "239-624-0320",
            "fax_number": "239-624-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUDINGER",
        "first_name": "ERICA",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9327066",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9327066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "IDDAG",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018916000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.