Active NPI
Woodline Augustin
- Family Nurse Practitioner
- Lehigh Acres, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F11220701
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| F11220701 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elitemedcare | Multi-Specialty | Current | Accepting new patients |
| M & H Med Housecalls, LLC | Multi-Specialty | Current | Accepting new patients |
| Cape Coral Hospitalists Inc | Multi-Specialty | Current | Accepting new patients |
| Afya Med Services LLC | Multi-Specialty | Current | 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.
-
- Geriatric Medicine (Family Medicine) Physician
- Naples, FL
- NPI 1841018553
FL, Multi-Specialty
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1336209790
FL, Multi-Specialty
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1427548304
FL, Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fort Myers, FL
- NPI 1245409010
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
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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.