Active NPI
Northwestern Medicine Florida Medical Group NFP Corporation
- General Practice Physician
- Naples, FL
National Provider Identifier
1508621517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- NORTHWESTERN MEDICINE FLORIDA MEDICAL GROUP NFP CORPORATION
- Practice address
- 681 4TH Ave N Ste 201
Naples, FL 34102-5729 - Phone
- (312) 926-2000
- NPI assigned
- Feb 19, 2024
- Organization subpart
- Yes
- Parent organization
- NORTHWESTERN MEMORIAL HEALTHCARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Mullen
- Title
- VP, Hospital Revenue Cycle, NMHC
- Phone
- (630) 938-6076
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
681 4TH Ave N Ste 201
Naples, FL 34102-5729
Mailing address
Dept 5777
Carol Stream, IL 60122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2304816 | Northwestern Medicine Florida Medical Group | Certificate of waiver | May 19, 2028 |
National Provider Directory
National Provider Directory- Part of
- Northwestern Medicine
Locations
681 4th Ave N
Ste 201
Naples, FL 34102
Phone (239) 920-5700
Dept 5777
Carol Stream, IL 60122
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Naples, FL
- NPI 1881278455
-
- Internal Medicine Physician
- Naples, FL
- NPI 1245282797
-
- Internal Medicine Physician
- Estero, FL
- NPI 1437133287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742169600000",
"number": "1508621517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 5777",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "60122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "681 4TH AVE N STE 201",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025729",
"telephone_number": "312-926-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWESTERN MEDICINE FLORIDA MEDICAL GROUP NFP CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTHWESTERN MEMORIAL HEALTHCARE",
"enumeration_date": "2024-02-19",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A",
"authorized_official_last_name": "MULLEN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "VP, HOSPITAL REVENUE CYCLE, NMHC",
"authorized_official_telephone_number": "630-938-6076"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
- Northern Dental General and Cosmetic Dentistry LLC
- Northern Litho Inc
- Northland Hearing Center, Inc. (U.S. Hearing Solutions)
- Northland Hearing Centers, Inc. (Auditory Associates Hearing Center)
- Patricia A Northrup, RPA-C
- Brooke Norton, MD
- Georgann Norton, PSYD
- Kelly Jean Norton, MSN, MHA, FNP-BC, FN
- Andrew Nottidge Jr.
- Kimberlee S Nottingham, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.