Individual provider Active NPI

Renee Deneweth, PA-C

  • Medical Physician Assistant
  • Naples, FL
National Provider Identifier
1578218079
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9115621 Issued in FL
Practice address
1300 Goodlette Rd Ste 101
Naples, FL 34102-5244
Phone
(239) 732-0044
Fax
(239) 732-0094
NPI assigned
Feb 14, 2022
Last updated
Feb 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9115621 FL Primary
Surgical Physician Assistant 363AS0400X 9115621 FL

Addresses

Primary practice location

1300 Goodlette Rd Ste 101
Naples, FL 34102-5244

Mailing address

8625 Collier Blvd
Naples, FL 34114-3601
Phone (239) 732-0044

Other practice location 1

531 Bald Eagle Dr
Marco Island, FL 34145-2700
Phone (239) 732-0044

Other practice location 2

8625 Collier Blvd
Naples, FL 34114-3601
Phone (239) 732-0044

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdeneweth@swp.emadirect.md

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
I20220405001494 FL Practitioner - Physician Assistant 3870989528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Wellness Physicians LLCGroup PAC ID 7911125661, 9 clinicians

Practice addresses (Care Compare)

1300 Goodlette Rd N
Naples, FL 34102-5239
Phone (239) 732-0044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9115621FLMDSurgical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: rdeneweth@swp.emadirect.md

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": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1578218079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8625 COLLIER BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143601",
            "telephone_number": "239-732-0044",
            "fax_number": "239-732-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 GOODLETTE RD STE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025244",
            "telephone_number": "239-732-0044",
            "fax_number": "239-732-0094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "531 Bald Eagle Dr",
            "address_purpose": "LOCATION",
            "city": "Marco Island",
            "state": "FL",
            "postal_code": "341452700",
            "country_code": "US",
            "telephone_number": "239-732-0044",
            "fax_number": "239-732-0094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8625 Collier Blvd",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341143601",
            "country_code": "US",
            "telephone_number": "239-732-0044",
            "fax_number": "239-732-0094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENEWETH",
        "first_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9115621",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "9115621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdeneweth@swp.emadirect.md",
            "affiliation": "N",
            "address_1": "1300 Goodlette Rd Ste 101",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341025244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.