Individual provider Active NPI

Carla Mills, ARNP

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1376582247
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1996782 Issued in FL
Practice address
311 9TH St N
Suite 310
Naples, FL 34102-5885
Phone
(239) 261-9990
Fax
(239) 261-9993
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 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 1996782 FL Primary

Addresses

Primary practice location

311 9TH St N
Suite 310
Naples, FL 34102-5885

Mailing address

311 9TH St N Ste 310
Naples, FL 34102-5889
Phone (239) 285-3525

Other identifiers 1

IdentifierTypeStateIssuer
Y060WOtherFLBLUE CROSS/BLUE SHIELD

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
I20041020001121 FL Practitioner - Nurse Practitioner 5092776336 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1996782FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diane Brzezinski DO PA CurrentSince Oct 1, 2004 Accepting new patients
Naples Urgent Care PL PastSince Jul 19, 2016 Accepting new patients

Locations

311 Tamiami Trl N
Ste 310
Naples, FL 34102
Phone (239) 261-9990

1250 Pine Ridge Rd
Ste 101A
Naples, FL 34108
Phone (239) 261-9990

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7883/brand/1/csg/1/fhir/r4
  • Direct secure messaging: carla.mills.msn.arnp-c.cde.1@7883.direct.athenahealth.com

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1376582247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 9TH ST N STE 310",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025889",
            "telephone_number": "239-285-3525",
            "fax_number": "239-775-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 9TH ST N",
            "address_2": "SUITE 310",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025885",
            "telephone_number": "239-261-9990",
            "fax_number": "239-261-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "CARLA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1996782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "Y060W",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.