Individual provider Active NPI

Heidi Denise Papesh, NURSE PRACTITIONER

  • Gerontology Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1467989343
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN252989 Issued in GU
Practice address
13751 Metropolis Ave
Fort Myers, FL 33912-7134
Phone
(239) 265-9943
Fax
(239) 926-9959
NPI assigned
May 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN252989 GU Primary

Addresses

Primary practice location

13751 Metropolis Ave
Fort Myers, FL 33912-7134

Mailing address

13751 Metropolis Ave
Fort Myers, FL 33912-7134
Phone (239) 265-9943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181029000192 GA Practitioner - Nurse Practitioner 2264785807 Reassigns benefits to 1 organization
I20220118002409 FL Practitioner - Nurse Practitioner 2264785807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monogram Health Professional Services of Florida LLCGroup PAC ID 0244608149, 41 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32256
Phone (855) 212-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN252989GUMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services of Florida LLC CurrentSince Aug 5, 2024 Accepting new patients
Peachtree Hospice of Georgia, LLC CurrentSince Jul 1, 2018 Accepting new patients
Millennium Physician Group LLC Past Accepting new patients

Locations

135 Gemini Cir
Ste 202
Birmingham, AL 35209
Phone (205) 949-0400

4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777

1233 Eagles Landing Pkwy
Ste Ab
Stockbridge, GA 30281
Phone (404) 480-3842

Interoperability endpoints

  • Direct secure messaging: heidi.papesh.1@22854.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1467989343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13751 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127134",
            "telephone_number": "239-265-9943",
            "fax_number": "239-926-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13751 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127134",
            "telephone_number": "239-265-9943",
            "fax_number": "239-926-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPESH",
        "first_name": "HEIDI",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GU",
            "license": "RN252989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.