Leopoldo Nazario, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

11008596 Issued in FL

Practice address

3727 Tilbor Cir
Fort Myers, FL 33916-8043

Phone

(239) 849-4096

NPI assigned

Aug 13, 2020

Last updated

Aug 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Primecare Home Health Home health agency, Saint Petersburg, FL, CCN 103197

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: leon@gulfcoastvillage.org

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.

• Woundcare Partners LLC

  • Family Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1295624658
  Medicare reassignment Authorized official
• Chma of FL, PLLC

  • Internal Medicine Physician
  • Aventura, FL
  • NPI 1912581653
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sumilang Health Care LLC

  dba Primecare Home Health

  • Home Health Agency
  • Clearwater, FL
  • NPI 1134487697
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1528679560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 TILBOR CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339168043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 TILBOR CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339168043",
            "telephone_number": "239-849-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIO",
        "first_name": "LEOPOLDO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11008596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BON",
            "identifier": "11008596",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LeoN@gulfcoastvillage.org",
            "affiliation": "N",
            "address_1": "1333 Santa Barbara Blvd",
            "city": "Cape Coral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339912803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Naveed Shafi, MD
• Nicole Navega, LCSW
• Michal Nawalany, M.D.
• Leslie Naylor
• Gaurav Nayyar, MD
• Ncim Inc. (Compassion Rehabilitation)
• Priscilla Muthoni Ndiangui, APRN
• Auvin Ndifor
• Martin G Ndungu, PRESIDENT
• Kristen Neagle, APRN

• Gerontology Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.
• 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.

Verify at the official NPI Registry.