Individual provider Active NPI

Ann M. Vidrick, MSN, RN, ACNP-BC

  • Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1437400991
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11025621 Issued in FL
Practice address
909 Del Prado Blvd S
Cape Coral, FL 33990-3623
Phone
(239) 217-8070
Fax
(239) 217-8069
NPI assigned
Sep 25, 2012
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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 APRN11025621 FL Primary
Acute Care Nurse Practitioner 363LA2100X 13851 OH

Addresses

Primary practice location

909 Del Prado Blvd S
Cape Coral, FL 33990-3623

Mailing address

6321 Daniels Pkwy Ste 200
Fort Myers, FL 33912-4710
Phone (239) 416-8101

Other identifiers 1

IdentifierTypeStateIssuer
0074801MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN11025621FLMDNurse Practitioner
13851OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Healthcare Specialists, LLC CurrentSince Aug 1, 2026 Accepting new patients
Advocate Radiation Oncology, LLC PastSince Aug 1, 2026 Accepting new patients

Locations

909 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 217-8070

15681 New Hampshire Ct
Fort Myers, FL 33908
Phone (239) 437-1977

6321 Daniels Pkwy
Ste 200
Fort Myers, FL 33912

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1437400991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 DANIELS PKWY STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124710",
            "telephone_number": "239-416-8101",
            "fax_number": "239-402-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903623",
            "telephone_number": "239-217-8070",
            "fax_number": "239-217-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDRICK",
        "first_name": "ANN",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-25",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11025621",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "13851",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074801",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.