Organization Active NPI

Access Line, LLC

Doing business as Premier Family Care of Naples

  • Primary Care Clinic/Center
  • Naples, FL
National Provider Identifier
1437835709
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ACCESS LINE, LLC
Doing business as
Premier Family Care of Naples
Practice address
15642 Summit Place Cir
Naples, FL 34119-4111
Phone
(163) 044-1876
NPI assigned
Jun 22, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Ms. Jill M Anderson, APRNNPI 1538463971
Title
Practice Administrator
Phone
(630) 441-8766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

15642 Summit Place Cir
Naples, FL 34119-4111

Mailing address

15642 Summit Place Cir
Naples, FL 34119-4111
Phone (163) 044-1876

Other names 1

  • Premier Family Care of Naples Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240301001360 FL Part B Supplier - Clinic/Group Practice 5890130785 Receives reassigned benefits from 3 practitioners
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

1755 Heritage Trl
Ste 601
Naples, FL 34112
Phone (239) 529-2581

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1437835709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15642 SUMMIT PLACE CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341194111",
            "telephone_number": "163-044-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15642 SUMMIT PLACE CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341194111",
            "telephone_number": "163-044-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS LINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "630-441-8766",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Family Care of Naples",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.