Individual provider Active NPI

Phillip Wendinger, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1508490475
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11006282 Issued in FL
Practice address
2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone
(239) 343-2606
Fax
(239) 343-3695
NPI assigned
Feb 28, 2020
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN11006262 FL
Family Nurse Practitioner 363LF0000X APRN11006282 FL Primary

Addresses

Primary practice location

2776 Cleveland Ave
Fort Myers, FL 33901-5864

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-2606

Other practice location 1

1201 Piper Blvd Ste 21
Naples, FL 34110-1385
Phone (239) 325-2412

Other practice location 2

6150 Diamond Centre Ct Unit 400
Fort Myers, FL 33912-4367
Phone (239) 333-3345

Other identifiers 1

IdentifierTypeStateIssuer
107113500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pwendinger250852@Direct.leememorial.org Lee Memorial Health System

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
I20200701001615 FL Practitioner - Nurse Practitioner 1456774934 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900

13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-2606

13685 Doctors Way
Fort Myers, FL 33912-4337

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11006282FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC Family Medicine CurrentSince Jun 25, 2020 Accepting new patients
Lee Memorial Health System CurrentSince Nov 9, 2020 Accepting new patients
Women's Contemporary Health Center, PLLC CurrentSince Jul 1, 2020 Accepting new patients
Cape Coral Emergency Physicians LLC CurrentSince Nov 1, 2021 Accepting new patients
Inpatient Consultants of Florida, Inc Current Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Nov 14, 2020 Accepting new patients
Lee County Trauma Services District CurrentSince Mar 27, 2023 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince Jun 25, 2020 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Nov 14, 2020 Accepting new patients
Lee Health System Inc Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Lee Memorial Health System Family Medicine CurrentSince Nov 9, 2020 Accepting new patients

Locations

14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

1435 SE 8th Ter
Ste D
Cape Coral, FL 33990
Phone (239) 424-2095

1682 NE Pine Island Rd
Cape Coral, FL 33909
Phone (239) 424-1600

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

23450 Via Coconut Pt
Estero, FL 34135
Phone (239) 468-0150

3501 Health Center Blvd
Ste 1050
Estero, FL 34135
Phone (239) 468-0260

3501 Health Center Blvd
Ste 1119
Estero, FL 34135
Phone (239) 343-9567

13340 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 343-0490

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

13685 Doctors Way
Ste 100
Fort Myers, FL 33912
Phone (239) 343-1176

13685 Doctors Way
Ste 140
Fort Myers, FL 33912
Phone (239) 278-3903

1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

4771 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 343-9800

6150 Diamond Centre Ct
Bldg 400
Fort Myers, FL 33912
Phone (239) 333-0828

6150 Diamond Centre Ct
Unit 400
Fort Myers, FL 33912
Phone (239) 333-3345

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

1201 Piper Blvd
Ste 21
Naples, FL 34110
Phone (239) 325-2412

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: pwendinger250852@direct.leememorial.org

Organizations & group practices 12

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 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": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1508490475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-2606",
            "fax_number": "239-343-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 CLEVELAND AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339015864",
            "telephone_number": "239-343-2606",
            "fax_number": "239-343-3695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Piper Blvd Ste 21",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341101385",
            "country_code": "US",
            "telephone_number": "239-325-2412",
            "fax_number": "239-325-1630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6150 Diamond Centre Ct Unit 400",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339124367",
            "country_code": "US",
            "telephone_number": "239-333-3345",
            "fax_number": "239-672-8109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENDINGER",
        "first_name": "PHILLIP",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-28",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11006262",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107113500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pwendinger250852@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "Lee Memorial Health System",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.