Individual provider Active NPI

Ellen Gordon Poage, APRN

  • Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1629276613
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN1812112 Issued in FL
Practice address
13691 Metro Pkwy Ste 200
Fort Myers, FL 33912-4321
Phone
(239) 264-1236
Fax
(321) 359-7055
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN1812112 FL Primary
Family Nurse Practitioner 363LF0000X APRN1812112 FL

Addresses

Primary practice location

13691 Metro Pkwy Ste 200
Fort Myers, FL 33912-4321

Mailing address

6321 Daniels Pkwy Ste 200
Fort Myers, FL 33912-4710
Phone (239) 416-8101

Other identifiers 7

IdentifierTypeStateIssuer
P01279998OtherFLRAILROAD MCR
P959926OtherFLOPTIMUM
Y4971OtherFLBCBS OF FL
P999557OtherFLFREEDOM
1235753OtherFLWELLCARE
398633OtherFLAVMED
5034309OtherFLAETNA

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
I20071127000322 FL Practitioner - Nurse Practitioner 9537257613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Healthcare Specialists, LLCGroup PAC ID 6103284955, 129 clinicians

Practice addresses (Care Compare)

14440 Metropolis Ave
Suite 101
Fort Myers, FL 33912-4364
Phone (239) 758-7465

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Healthcare Specialists, LLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

14 Del Prado Blvd N
Ste 302
Cape Coral, FL 33909
Phone (239) 264-1236

14440 Metropolis Ave
Ste 101
Fort Myers, FL 33912
Phone (239) 758-7465

6321 Daniels Pkwy
Ste 200
Fort Myers, FL 33912
Phone (855) 674-7400

14440 Metropolis Ave
Fort Myers, FL 33912

13691 Metro Pkwy
Ste 200
Fort Myers, FL 33912
Phone (239) 291-3604

13691 Metro Pkwy
Ste 300
Fort Myers, FL 33912
Phone (239) 291-6970

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: ellen.poage.1@29246.direct.athenahealth.com
  • Direct secure messaging: ellen.poage@bbs.directbygreenway.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1629276613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 DANIELS PKWY STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124710",
            "telephone_number": "239-416-8101",
            "fax_number": "239-402-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124321",
            "telephone_number": "239-264-1236",
            "fax_number": "321-359-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POAGE",
        "first_name": "ELLEN",
        "middle_name": "GORDON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN1812112",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN1812112",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "P01279998",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM",
            "identifier": "P959926",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "Y4971",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM",
            "identifier": "P999557",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1235753",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "398633",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5034309",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.