Individual provider Active NPI

Michelle Anne Cain, PA-C

  • Physician Assistant
  • Fort Myers, FL
National Provider Identifier
1568187441
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9116561 Issued in FL
Practice address
1500 Royal Palm Square Blvd Ste 105
Fort Myers, FL 33919-1058
Phone
(239) 694-8346
NPI assigned
Oct 4, 2022
Last updated
Oct 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9116561 FL Primary

Addresses

Primary practice location

1500 Royal Palm Square Blvd Ste 105
Fort Myers, FL 33919-1058

Mailing address

9737 Mirada Blvd
Fort Myers, FL 33908-3846
Phone (239) 699-5261

Other practice location 1

3359 Woods Edge Cir Ste 102
Bonita Springs, FL 34134-3327
Phone (239) 694-8346

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
I20230119002054 FL Practitioner - Physician Assistant 8820469307 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9116561FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Healthcare Specialists, LLC CurrentSince Jun 1, 2026 Accepting new patients
Advocate Radiation Oncology, LLC CurrentSince Jun 1, 2026 Accepting new patients

Locations

15681 New Hampshire Ct
Fort Myers, FL 33908
Phone (239) 437-1977

6321 Daniels Pkwy
Ste 200
Fort Myers, FL 33912

9961 Estero Oaks Dr
Fort Myers, FL 33967
Phone (239) 396-5162

9961 Estero Oaks Dr
Unit 101A
Fort Myers, FL 33967
Phone (239) 396-5162

9961 Estero Oaks Dr
Unit 101B
Fort Myers, FL 33967
Phone (239) 516-0009

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1568187441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9737 MIRADA BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083846",
            "telephone_number": "239-699-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ROYAL PALM SQUARE BLVD STE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339191058",
            "telephone_number": "239-694-8346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3359 Woods Edge Cir Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341343327",
            "country_code": "US",
            "telephone_number": "239-694-8346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAIN",
        "first_name": "MICHELLE",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9116561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.