Individual provider Active NPI

Shannen Lea Vixler, ARNP

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1528091998
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9198349 Issued in FL
Practice address
13691 Metro Pkwy Ste 310
Fort Myers, FL 33912-4322
Phone
(239) 768-1400
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9198349 FL Primary

Addresses

Primary practice location

13691 Metro Pkwy Ste 310
Fort Myers, FL 33912-4322

Mailing address

PO Box 984
Estero, FL 33929-0984

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
I20070314000210 FL Practitioner - Nurse Practitioner 7719080605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael J Haiken MD PAGroup PAC ID 7012010903, 5 clinicians

Practice addresses (Care Compare)

8841 Cody Lee Rd
Fort Myers, FL 33912-4500
Phone (239) 768-1400

Hospital & facility affiliations

  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J Haiken MD PA CurrentSince Jun 1, 2006 Accepting new patients

Locations

8100 Arbor Ct
Fort Myers, FL 33908
Phone (239) 454-2146

8841 Cody Lee Rd
Fort Myers, FL 33912
Phone (239) 691-3987

13691 Metro Pkwy
Ste 310
Fort Myers, FL 33912
Phone (239) 691-3987

20171 Summerlin Rd
Fort Myers, FL 33908
Phone (239) 768-1400

Organizations & group practices 1

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1528091998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 984",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339290984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY STE 310",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124322",
            "telephone_number": "239-768-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIXLER",
        "first_name": "SHANNEN",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9198349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.