Individual provider Active NPI

Leslie Taylor, APRN

  • Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1477264000
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11021460 Issued in FL
Practice address
1922 Victoria Avenue
Fort Myers, FL 33901
Phone
(239) 264-4318
Fax
(239) 310-2035
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11021460 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11021460 FL
Nurse Practitioner 363L00000X APRN11021460 FL Primary

Addresses

Primary practice location

1922 Victoria Avenue
Fort Myers, FL 33901

Mailing address

1922 Victoria Avenue
Fort Myers, FL 33901
Phone (239) 264-4318

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
I20230413002964 FL Practitioner - Nurse Practitioner 1153796693 Reassigns benefits to 1 organization

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
Swag Mental Health Services LLCGroup PAC ID 6901344779, 2 clinicians

Practice addresses (Care Compare)

1922 Victoria Ave
Suite a
Fort Myers, FL 33901-3441
Phone (239) 264-4318

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
38.98 of 100Reported as group
Quality
10.19
Promoting interoperability
36
Improvement activities
40
Cost
23.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11021460FLMDPsychiatric/Mental Health Nurse Practitioner
APRN11021460FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Swag Mental Health Services LLC Psychiatric/Mental Health CurrentSince Jul 23, 2024 Accepting new patients
Stonebraker Medical, LLC CurrentSince Apr 13, 2025 Accepting new patients
Mentus Behavioral Health LLC PastSince Feb 1, 2024 Accepting new patients
SWFL Counseling, LLC PastSince Jul 21, 2024 Accepting new patients

Locations

8260 College Pkwy
Ste 202
Fort Myers, FL 33919
Phone (239) 224-2305

1922 Victoria Ave
Ste A
Fort Myers, FL 33901
Phone (239) 264-4318

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1477264000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 VICTORIA AVENUE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33901",
            "telephone_number": "239-264-4318",
            "fax_number": "563-228-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 VICTORIA AVENUE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33901",
            "telephone_number": "239-264-4318",
            "fax_number": "239-310-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LESLIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2025-02-26",
        "certification_date": "2024-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11021460",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11021460",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11021460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.