Individual provider Active NPI

Christi Linn Iverson, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1538829353
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11016416 Issued in FL
Practice address
8381 Riverwalk Park Blvd Ste 101
Fort Myers, FL 33919-8760
Phone
(239) 936-5425
NPI assigned
Dec 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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 11016416 FL Primary

Addresses

Primary practice location

8381 Riverwalk Park Blvd Ste 101
Fort Myers, FL 33919-8760

Mailing address

429 SW 44TH Ter
Cape Coral, FL 33914-7529
Phone (239) 410-4327

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
I20221213002224 FL Practitioner - Nurse Practitioner 1658740683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Dermatology M D P LGroup PAC ID 1355370495, 12 clinicians

Practice addresses (Care Compare)

8381 Riverwalk Park Blvd
Suite 101
Fort Myers, FL 33919-8760
Phone (239) 936-5425

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11016416FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Dermatology M D P L CurrentSince Sep 8, 2022 Accepting new patients

Locations

14 Del Prado Blvd N
Ste 301
Cape Coral, FL 33909
Phone 2399365425221

8381 Riverwalk Park Blvd
Ste 101
Fort Myers, FL 33919
Phone (239) 936-5425

3665 Tamiami Trl
Unit 104
Punta Gorda, FL 33950

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00020

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, 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": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1538829353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 SW 44TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339147529",
            "telephone_number": "239-410-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8381 RIVERWALK PARK BLVD STE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339198760",
            "telephone_number": "239-936-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSON",
        "first_name": "CHRISTI",
        "middle_name": "LINN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11016416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.