Individual provider Active NPI

Noelle Anderson, PA

  • Physician Assistant
  • Fort Myers, FL
National Provider Identifier
1386476927
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6201 Alliance LN Ste 100
Fort Myers, FL 33912-7164
Phone
(239) 343-1176
Fax
(239) 343-4238
NPI assigned
Aug 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

6201 Alliance LN Ste 100
Fort Myers, FL 33912-7164

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-1176

Other practice location 1

8050 Eacon Ct
Hudson, FL 34667-2112
Phone (941) 626-7677

Other practice location 2

6201 Alliance Ln Ste 200
Fort Myers, FL 33912-7165
Phone (239) 343-1176

Other identifiers 1

IdentifierTypeStateIssuer
129099500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nanderson699068@Direct.leememorial.org Direct LEE HEALTH SYSTEM INC

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
I20241126000194 FL Practitioner - Physician Assistant 9234664467 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

6201 Alliance LN
Suite 100
Fort Myers, FL 33912-7164
Phone (239) 343-1176

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Health System Inc CurrentSince Nov 25, 2025 Accepting new patients
Tampa General Hospital Current Accepting new patients
Lee Health System Inc CurrentSince Nov 25, 2025 Accepting new patients
Tampa General Provider Network Inc PastSince Jun 1, 2022 Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

6201 Alliance Ln
Ste 200
Fort Myers, FL 33912
Phone (239) 343-1176

6201 Alliance Ln
Ste 100
Fort Myers, FL 33912
Phone (239) 343-1176

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: nanderson324111@direct.tgh.org
  • Direct secure messaging: nanderson699068@direct.leememorial.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1386476927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-1176",
            "fax_number": "239-343-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 ALLIANCE LN STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127164",
            "telephone_number": "239-343-1176",
            "fax_number": "239-343-4238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8050 Eacon Ct",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346672112",
            "country_code": "US",
            "telephone_number": "941-626-7677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6201 Alliance Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339127165",
            "country_code": "US",
            "telephone_number": "239-343-1176",
            "fax_number": "239-343-4238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NOELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129099500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nanderson699068@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "LEE HEALTH SYSTEM INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "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.