Individual provider Active NPI

Brenda B Listowski, ARNP

  • Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1528080579
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 1201052 Issued in FL
Practice address
23 Barkley Circle
Fort Myers, FL 33907
Phone
(239) 333-1177
Fax
(239) 939-1177
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP 1201052 FL Primary

Addresses

Primary practice location

23 Barkley Circle
Fort Myers, FL 33907

Mailing address

23 Barkley Cir
Fort Myers, FL 33907-7531
Phone (239) 333-1177

Other identifiers 1

IdentifierTypeStateIssuer
003083600MedicaidFL

Other names 1

  • Brenda B Pulver Former name

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
I20090702000585 FL Practitioner - Nurse Practitioner 4486705480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Pain and Rehabilitation Associates IncGroup PAC ID 6204732605, 69 clinicians
Pain Management Consultants of South West Florida, PLGroup PAC ID 1052338878, 4 clinicians

Practice addresses (Care Compare)

1031 SE 9TH Place
5 Cape Coral
Cape Coral, FL 33990-3003
Phone (239) 333-1177

150 SW Chamber CT
Suite 105
Port St Lucie, FL 34986-3413
Phone (772) 807-9000

1693 Lee Rd
Suite B
Winter Park, FL 32789-2260
Phone (407) 622-5766

2721 Del Prado Blvd S
Suite 200
Cape Coral, FL 33904-5783
Phone (239) 333-1177

5365 W Atlantic Ave
Suite 504
Delray Beach, FL 33484-8194
Phone (561) 241-9300

7964 Summerlin Lakes Dr
Fort Myers, FL 33907-1816
Phone (239) 333-1177

Hospital & facility affiliations

  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

Merit-based Incentive Payment System (MIPS)

Final score
96.19 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Dec 16, 2020 Accepting new patients
Florida Pain and Rehabilitation Associates Inc Current Accepting new patients
Pain Management Consultants of Southwest Florida, PL CurrentSince Nov 1, 2010 Accepting new patients
Florida Pain & Rehabilitation Institute Inc CurrentSince Dec 16, 2020 Accepting new patients
Pain Management Consultants of Southwest Florida, PL Past Accepting new patients
Florida Pain and Rehabilitation Institute Inc Past Accepting new patients

Locations

9400 Bonita Beach Rd SE
Ste 101
Bonita Springs, FL 34135
Phone (239) 333-1177

2721 Del Prado Blvd S
Ste 200
Cape Coral, FL 33904
Phone (239) 458-6677

1031 SE 9th Pl
Unit 5
Cape Coral, FL 33990
Phone (239) 333-1177

7964 Summerlin Lakes Dr
Fort Myers, FL 33907
Phone (239) 333-1177

23 Barkley Cir
Fort Myers, FL 33907
Phone (239) 333-1177

150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: blistowski@nspc.emadirect.md

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1528080579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BARKLEY CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077531",
            "telephone_number": "239-333-1177",
            "fax_number": "239-333-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BARKLEY CIRCLE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33907",
            "telephone_number": "239-333-1177",
            "fax_number": "239-939-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTOWSKI",
        "first_name": "BRENDA",
        "middle_name": "B",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 1201052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003083600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "PULVER",
            "middle_name": "B",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.