Active NPI
Ericka Blaufuss Nelson, ARNP
- Nurse Practitioner
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9331010
- Practice address
- 13421 Parker Commons Blvd
Suite 101
Fort Myers, FL 33912-2076 - Phone
- (239) 985-2600
- Fax
- (239) 985-0130
- NPI assigned
- Sep 23, 2005
- Last updated
- Sep 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R120365-7 | MN | |
| Nurse Practitioner | 363L00000X | ARNP9331010 | FL | Primary |
Addresses
Primary practice location
13421 Parker Commons Blvd
Suite 101
Fort Myers, FL 33912-2076
Mailing address
13421 Parker Commons Blvd
Suite 101
Fort Myers, FL 33912-2076
Phone (239) 985-2600
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R120365-7 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Medical Solutions, LLC | Current | Accepting new patients | |
| Cape Coral Injury Clinic LLC | Past | Accepting new patients |
Locations
1260 NE 8th St
Ste 110
Cape Coral, FL 33909
Phone (239) 443-4716
428 Del Prado Blvd N
Ste 108
Cape Coral, FL 33909
Phone (239) 573-7988
Interoperability endpoints
- ericka.nelson@catc.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
dba Premier Medical Group
- Family Medicine Physician
- Cape Coral, FL
- NPI 1174915045
-
- Physical Medicine & Rehabilitation Physician
- Cape Coral, FL
- NPI 1093537854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442448000000",
"number": "1528054707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13421 PARKER COMMONS BLVD",
"address_2": "SUITE 101",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339122076",
"telephone_number": "239-985-2600",
"fax_number": "239-985-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13421 PARKER COMMONS BLVD",
"address_2": "SUITE 101",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339122076",
"telephone_number": "239-985-2600",
"fax_number": "239-985-0130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ERICKA",
"middle_name": "BLAUFUSS",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-23",
"last_updated": "2015-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R120365-7",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9331010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.