Individual provider Active NPI

Ann L Kurn, A.R.N.P.

  • Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1609808682
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2070582 Issued in FL
Practice address
12995 S Cleveland Ave Ste 184
Fort Myers, FL 33907-7703
Phone
(239) 939-2201
Fax
(239) 939-7572
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP2070582 FL Primary

Addresses

Primary practice location

12995 S Cleveland Ave Ste 184
Fort Myers, FL 33907-7703

Mailing address

2675 Winkler Ave
FL 2
Fort Myers, FL 33901-9342
Phone (239) 939-2201

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
I20050920001038 FL Practitioner - Nurse Practitioner 9537193404 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Nov 22, 2018 Accepting new patients
Millennium Physician Group LLC CurrentSince Nov 22, 2018 Accepting new patients

Locations

707 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 278-0330

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

12995 S Cleveland Ave
Ste 184
Fort Myers, FL 33907
Phone (239) 226-2727

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1609808682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE",
            "address_2": "FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "239-939-2201",
            "fax_number": "239-939-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12995 S CLEVELAND AVE STE 184",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077703",
            "telephone_number": "239-939-2201",
            "fax_number": "239-939-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURN",
        "first_name": "ANN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2070582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.