Individual provider Active NPI

Robert A Marrero, ARNP

  • Family Nurse Practitioner
  • North Fort Myers, FL
National Provider Identifier
1396736096
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3052012 Issued in FL
Practice address
535 Pine Island Rd Ste M
North Fort Myers, FL 33903-3700
Phone
(239) 278-3600
Fax
(239) 275-9159
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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 ARNP3052012 FL Primary

Addresses

Primary practice location

535 Pine Island Rd Ste M
North Fort Myers, FL 33903-3700

Mailing address

PO Box 919771
Orlando, FL 32891-9771
Phone (239) 278-3600

Other practice location 1

8359 Stringfellow Rd
St James City, FL 33956-2910
Phone (239) 344-2393

Other identifiers 2

IdentifierTypeStateIssuer
Y6972OtherFLBLUE CROSS
301751600MedicaidFL

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
I20080216000124 FL Practitioner - Nurse Practitioner 1850474610

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Centers of Southwest Florida IncGroup PAC ID 3173432085, shared by 12 NPIs, 37 clinicians

Practice addresses (Care Compare)

2232 Grand Ave
Fort Myers, FL 33901-3717
Phone (239) 344-2391

4040 Palm Beach Blvd
Fort Myers, FL 33916-3470
Phone (844) 342-7935

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1396736096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919771",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328919771",
            "telephone_number": "239-278-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 PINE ISLAND RD STE M",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339033700",
            "telephone_number": "239-278-3600",
            "fax_number": "239-275-9159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8359 Stringfellow Rd",
            "address_purpose": "LOCATION",
            "city": "St James City",
            "state": "FL",
            "postal_code": "339562910",
            "country_code": "US",
            "telephone_number": "239-344-2393",
            "fax_number": "239-283-9276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3052012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "Y6972",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301751600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.