Individual provider Active NPI

Evan Stutchin, DO

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1487155099
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS20914 Issued in FL
Practice address
8991 Daniels Center Dr Ste 105
Fort Myers, FL 33912-0317
Phone
(239) 440-6456
Fax
(239) 236-0337
NPI assigned
Feb 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS021253 PA
Internal Medicine Physician 207R00000X OS20914 FL Primary

Addresses

Primary practice location

8991 Daniels Center Dr Ste 105
Fort Myers, FL 33912-0317

Mailing address

PO Box 9279
Jupiter, FL 33468-9279
Phone (239) 440-6456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210903000247 PA Practitioner - HospitalistPractitioner - Internal Medicine 4284063843 Reassigns benefits to 2 organizations
I20240627002781 FL Practitioner - Internal Medicine 4284063843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Shore Internal Medicine, P.a.Group PAC ID 5294746129, 8 clinicians

Practice addresses (Care Compare)

9371 Cypress Lake Dr
Suite 12
Fort Myers, FL 33919-4995
Phone 23944064566

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS20914FLMDInternal Medicine Physician
OS021253PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Shore Internal Medicine, P.a. Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Pentahealth, LLC Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Main Line Healthcare Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients

Locations

8991 Daniels Center Dr
Ste 105
Fort Myers, FL 33912
Phone (239) 440-6456

9371 Cypress Lake Dr
Ste 12
Fort Myers, FL 33919
Phone (239) 440-6456

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

130 S Bryn Mawr Ave
Rm 318
Bryn Mawr, PA 19010
Phone (484) 337-8068

412 Creamery Way
Ste 400
Exton, PA 19341
Phone (610) 269-9448

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

520 Maple Ave
Ste 4
West Chester, PA 19380
Phone (610) 430-8200

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

100 E Lancaster Ave
Fl 4
Wynnewood, PA 19096

Interoperability endpoints

  • Direct secure messaging: evanstutchin@gmacc.allscriptsdirect.net

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.

Hospital & facility affiliations 3

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": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1487155099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9279",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334689279",
            "telephone_number": "239-440-6456",
            "fax_number": "239-236-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8991 DANIELS CENTER DR STE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339120317",
            "telephone_number": "239-440-6456",
            "fax_number": "239-236-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTCHIN",
        "first_name": "EVAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-28",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS021253",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS20914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.