Individual provider Active NPI

Ericka Blaufuss Nelson, ARNP

  • Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1528054707
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9331010 Issued in FL
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130419000011 FL Practitioner - Nurse Practitioner 6800859356 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R120365-7MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Medical Solutions, LLC CurrentSince Apr 2, 2016 Accepting new patients
Cape Coral Injury Clinic LLC PastSince Nov 3, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.