Active NPI
Ellen Gordon Poage, APRN
- Nurse Practitioner
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN1812112
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01279998 | Other | FL | RAILROAD MCR |
| P959926 | Other | FL | OPTIMUM |
| Y4971 | Other | FL | BCBS OF FL |
| P999557 | Other | FL | FREEDOM |
| 1235753 | Other | FL | WELLCARE |
| 398633 | Other | FL | AVMED |
| 5034309 | Other | FL | AETNA |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Healthcare Specialists, LLC | Current | 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
- ellen.poage.1@29246.direct.athenahealth.com
- 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.
-
- Otolaryngology Physician
- Fort Myers, FL
- NPI 1457050106
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.