Individual provider Active NPI

Nattasha Acevedo-Ramirez, M.D.

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1366786451
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME136443 Issued in FL
Practice address
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone
(239) 208-2212
NPI assigned
Nov 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 20696 NH
Neurology Physician 2084N0400X MD61067999 WA
Neurology Physician 2084N0400X 19314 PR
Neurology Physician 2084N0400X MD471824 PA
Neurology Physician 2084N0400X MD200171 OR
Neurology Physician 2084N0400X ME136443 FL Primary

Addresses

Primary practice location

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206

Mailing address

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone (239) 208-2212

Other practice location 1

19300 SW 65th Ave
Tualatin, OR 97062-7706
Phone (000) 000-0000

Other practice location 2

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

Other practice location 3

1250 S Cedar Crest Blvd Ste 405
Allentown, PA 18103-6224
Phone (610) 402-8420

Other identifiers 2

IdentifierTypeStateIssuer
024918300MedicaidFL
JK346ZOtherFLMEDICARE

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address nacevedoramirez740132@direct.ketteringhealth.org
Direct Messaging Address benefishealthsystem@direct.summit-healthcare.org Benefis Hospitals, Inc
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL, IA, MT, MI, NH, OR, WA, GA, ND, KY, PA12 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 12

Enrollment IDStateProvider typePAC IDDetails
I20161130000655 PR Practitioner - Neurology 7214217793 Reassigns benefits to 6 organizations
I20180724000597 FL Practitioner - Neurology 7214217793 Reassigns benefits to 1 organization
I20200618000537 IA Practitioner - Neurology 7214217793
I20200701000833 MT Practitioner - Neurology 7214217793 Reassigns benefits to 1 organization
I20201016001879 MI Practitioner - Neurology 7214217793 Reassigns benefits to 1 organization
I20201027001366 NH Practitioner - Neurology 7214217793 Reassigns benefits to 3 organizations
I20210308000337 OR Practitioner - Neurology 7214217793 Reassigns benefits to 1 organization
I20210308000415 WA Practitioner - Neurology 7214217793 Reassigns benefits to 1 organization
I20211120000037 GA Practitioner - Neurology 7214217793 Reassigns benefits to 2 organizations
I20220511000434 ND Practitioner - Neurology 7214217793 Reassigns benefits to 1 organization
I20220914000709 KY Practitioner - Neurology 7214217793 Reassigns benefits to 1 organization
I20230412003272 PA Practitioner - Neurology 7214217793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Ponce School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtual Neurology Kansas LLCGroup PAC ID 9436694270, 47 clinicians
Virtual Neurology Texas PLLCGroup PAC ID 3779910047, 151 clinicians
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians

Practice addresses (Care Compare)

San Juan, PR 00916
Phone (239) 208-2212

San Juan, PR 00918
Phone (239) 208-2212

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000

1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

48 Ave Munoz Rivera
San Juan, PR 00918-1630
Phone (239) 208-2212

80 Highland St
Laconia, NH 03246-3235
Phone (603) 527-2819

Hospital & facility affiliations

  • Adventhealth Central Texas Hospital, Killeen, TX, CCN 450152
  • CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020
  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
  • CHI Health Mercy Council Bluffs Hospital, Council Bluffs, IA, CCN 160028
  • Mercyone Dubuque Medical Center Hospital, Dubuque, IA, CCN 160069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME136443FLMDNeurology Physician
20696NHMDNeurology Physician
MD471824PAMDNeurology Physician
19314PRMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Aug 1, 2016 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Dec 8, 2021 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 29, 2022 Accepting new patients
Virtual Neurology Kansas, LLC Neurology CurrentSince Jun 11, 2024 Accepting new patients
Altru Health System CurrentSince Mar 24, 2022 Accepting new patients
Benefis Hospitals Inc CurrentSince Mar 27, 2020 Accepting new patients
Benefis Hospitals, Inc. CurrentSince Mar 27, 2020 Accepting new patients
Legacy Clinics LLC CurrentSince Mar 10, 2021 Accepting new patients
Upson County Hospital Inc CurrentSince Nov 15, 2021 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 29, 2022 Accepting new patients
Lakeland Medical Practices CurrentSince Sep 15, 2020 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Oct 27, 2020 Accepting new patients
Florida Neurology Group P L Neurology CurrentSince Jul 1, 2018 Accepting new patients
Lehigh Valley Physician Group Neurology Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Aug 1, 2016 Accepting new patients
Baptist Health Medical Group Inc Neurology Current Accepting new patients
Concord Hospital-Laconia CurrentSince May 7, 2022 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Feb 16, 2021 Accepting new patients
Lakeland Medical Practices CurrentSince Sep 15, 2020 Accepting new patients
Upson County Hospital Inc Neurology CurrentSince Nov 15, 2021 Accepting new patients
Altru Health System CurrentSince Mar 24, 2022 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Feb 16, 2021 Accepting new patients
Altru Health System Current Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Oct 27, 2020 Accepting new patients
North Mississippi Medical Center Inc. Neurology CurrentSince Apr 29, 2025 Accepting new patients
Virtualhealthconnect LLC Neurology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Cep America - Neurology PC Neurology Past Accepting new patients

Locations (25 of 32)

12670 Whitehall Dr
Fort Myers, FL 33907
Phone (239) 936-3554

9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

830 S Gloster St
Fl 1
Tupelo, MS 38801
Phone (662) 377-2500

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

1300 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-2300

2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

Interoperability endpoints

  • Direct secure messaging: nacevedoramirez4030714@direct.trinity-health.org

Organizations & group practices 48

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.

View all 48

Hospital & facility affiliations 6

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1366786451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 METRO PKWY STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661206",
            "telephone_number": "239-208-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19300 SW 65th Ave",
            "address_purpose": "LOCATION",
            "city": "Tualatin",
            "state": "OR",
            "postal_code": "970627706",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Eaton Ave",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450132767",
            "country_code": "US",
            "telephone_number": "513-867-2000",
            "fax_number": "513-867-2119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 S Cedar Crest Blvd Ste 405",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036224",
            "country_code": "US",
            "telephone_number": "610-402-8420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACEVEDO-RAMIREZ",
        "first_name": "NATTASHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NH",
            "license": "20696",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD61067999",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "19314",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD471824",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD200171",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME136443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024918300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "JK346Z",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nacevedoramirez740132@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "630 Eaton Ave",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "benefishealthsystem@direct.summit-healthcare.org",
            "affiliation": "Y",
            "affiliationName": "Benefis Hospitals, Inc",
            "address_1": "1101 26th St S",
            "city": "Great Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594055161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "630 Eaton Ave",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.