Individual provider Active NPI

Woodline Augustin

  • Family Nurse Practitioner
  • Lehigh Acres, FL
National Provider Identifier
1457064065
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11220701 Issued in FL
Practice address
3812 6TH St SW
Lehigh Acres, FL 33976-2223
Phone
(239) 302-9404
NPI assigned
Dec 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X F11220701 FL Primary

Addresses

Primary practice location

3812 6TH St SW
Lehigh Acres, FL 33976-2223

Mailing address

3812 6TH St SW
Lehigh Acres, FL 33976-2223
Phone (239) 302-9404

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
I20230501000088 FL Practitioner - Nurse Practitioner 1850756610 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F11220701FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elitemedcare Multi-Specialty CurrentSince Feb 24, 2025 Accepting new patients
M & H Med Housecalls, LLC Multi-Specialty CurrentSince Jul 10, 2023 Accepting new patients
Cape Coral Hospitalists Inc Multi-Specialty CurrentSince Jun 1, 2023 Accepting new patients
Afya Med Services LLC Multi-Specialty CurrentSince Feb 1, 2025 Accepting new patients

Locations

1407 Viscaya Pkwy
Ste 2
Cape Coral, FL 33990
Phone (239) 772-0111

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

606 Bald Eagle Dr
Ste 616
Marco Island, FL 34145
Phone (239) 601-5452

2338 Immokalee Rd
Naples, FL 34110
Phone (239) 330-2933

Organizations & group practices 4

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elitemedcare 4 clinicians

Practice addresses (Care Compare)

2338 Immokalee Rd
Suite 203
Naples, FL 34110-1445
Phone (239) 919-4342

Hospital & facility affiliations

  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1457064065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 6TH ST SW",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339762223",
            "telephone_number": "239-302-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 6TH ST SW",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339762223",
            "telephone_number": "239-302-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTIN",
        "first_name": "WOODLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F11220701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.