Individual provider Active NPI

Felicity Sunn Leclerc, APRN

  • Primary Care Nurse Practitioner
  • Lehigh Acres, FL
National Provider Identifier
1528874690
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11034759 Issued in FL
Practice address
5705 Lee Blvd Ste 1
Lehigh Acres, FL 33971-6342
Phone
(239) 343-1800
Fax
(239) 343-4041
NPI assigned
Dec 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN11034759 FL Primary

Addresses

Primary practice location

5705 Lee Blvd Ste 1
Lehigh Acres, FL 33971-6342

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-1800

Other practice location 1

3667 Wild Sage Way
Alva, FL 33920-4752
Phone (571) 484-8735

Other identifiers 1

IdentifierTypeStateIssuer
125401400MedicaidFL

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
I20250204000545 FL Practitioner - Nurse Practitioner 6305376542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

5705 Lee Blvd
Suite 1
Lehigh Acres, FL 33971-6342
Phone (239) 343-1800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11034759FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Health System Inc CurrentSince Feb 1, 2025 Accepting new patients
Lee Health System Inc CurrentSince Feb 1, 2025 Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

5705 Lee Blvd
Ste 1
Lehigh Acres, FL 33971
Phone (239) 343-1800

Interoperability endpoints

  • Direct secure messaging: fleclerc437360@direct.leememorial.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1528874690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-1800",
            "fax_number": "239-343-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 LEE BLVD STE 1",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339716342",
            "telephone_number": "239-343-1800",
            "fax_number": "239-343-4041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3667 Wild Sage Way",
            "address_purpose": "LOCATION",
            "city": "Alva",
            "state": "FL",
            "postal_code": "339204752",
            "country_code": "US",
            "telephone_number": "571-484-8735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LECLERC",
        "first_name": "FELICITY",
        "middle_name": "SUNN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11034759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125401400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.