Individual provider Active NPI

Robert Charles II

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1487279394
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11013238 Issued in FL
Practice address
737 Cape Coral Pkwy E
Cape Coral, FL 33904-8551
Phone
(239) 542-0512
NPI assigned
Jun 16, 2020
Last updated
Dec 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11013238 FL Primary
Registered Nurse 163W00000X RN9379219 FL

Addresses

Primary practice location

737 Cape Coral Pkwy E
Cape Coral, FL 33904-8551

Mailing address

737 Cape Coral Pkwy E
Cape Coral, FL 33904-8551
Phone (239) 542-0512

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
I20221202001664 FL Practitioner - Nurse Practitioner 2567831167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

2718 Lee Blvd
Suite B
Lehigh Acres, FL 33971-1537

3763 Evans Ave
Fort Myers, FL 33901-9302

706 NW 19TH Ave
Cape Coral, FL 33993-7149

737 Cape Coral Pkwy E
Cape Coral, FL 33904-8551

8313 S Pierce Way
Littleton, CO 80128-6399

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9379219FLMDRegistered Nurse
APRN11013238FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Sep 23, 2024 Accepting new patients
Infirmieres Care LLC CurrentSince Oct 29, 2024 Accepting new patients
MD Now Medical Centers Inc CurrentSince Sep 23, 2024 Accepting new patients
Best Care Community and Family Health Center Inc CurrentSince Mar 25, 2022 Accepting new patients
Sante Plus Medical Center Past Accepting new patients
Sante Plus Medical Center Past Accepting new patients

Locations

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

313 SW Pine Island Rd
Cape Coral, FL 33991
Phone (239) 458-6755

214 S 1st St
Ste Ab
Immokalee, FL 34142
Phone (239) 288-0840

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

2718 Lee Blvd
Ste B
Lehigh Acres, FL 33971
Phone (239) 288-0840

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1487279394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 CAPE CORAL PKWY E",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048551",
            "telephone_number": "239-542-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 CAPE CORAL PKWY E",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048551",
            "telephone_number": "239-542-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013238",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9379219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.