Individual provider Active NPI

David Prado

  • Family Nurse Practitioner
  • North Fort Myers, FL
National Provider Identifier
1659054468
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06230584 Issued in FL
Practice address
1680 Saint Clair Ave E
North Fort Myers, FL 33903-4649
Phone
(786) 269-3358
NPI assigned
Aug 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95037035 CA
Family Nurse Practitioner 363LF0000X 358469 NY
Family Nurse Practitioner 363LF0000X F06230584 FL Primary

Addresses

Primary practice location

1680 Saint Clair Ave E
North Fort Myers, FL 33903-4649

Mailing address

1680 Saint Clair Ave E
North Fort Myers, FL 33903-4649
Phone (786) 269-3358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI, CA, NY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20240228002374 FL Practitioner - Nurse Practitioner 5698110765 Reassigns benefits to 1 organization
I20240612002538 MI Practitioner - Nurse Practitioner 5698110765 Reassigns benefits to 1 organization
I20251024001794 CA Practitioner - Nurse Practitioner 5698110765 Reassigns benefits to 2 organizations
I20260204000245 NY Practitioner - Nurse Practitioner 5698110765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1680 Saint Clair Ave E
N Fort Myers, FL 33903-4649

200 Oceangate
Suite 100
Long Beach, CA 90802-4316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95037035CAMDFamily Nurse Practitioner
F06230584FLMDFamily Nurse Practitioner
358469NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Health Plan of California, Inc. CurrentSince Oct 9, 2025 Accepting new patients
Molina Healthcare of California CurrentSince Oct 9, 2025 Accepting new patients
Molina Healthcare of New York, Inc. CurrentSince Jan 20, 2026 Accepting new patients
Molina Care Connections, LLC. CurrentSince Mar 11, 2024 Accepting new patients
Senior Whole Health of New York, Inc CurrentSince Jan 20, 2026 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

8300 NW 33rd St
Ste 400
Doral, FL 33122
Phone (904) 229-7396

880 W Long Lake Rd
Troy, MI 48098
Phone (248) 227-6316

2900 Exterior St
Ste 202
Bronx, NY 10463
Phone (607) 238-5357

15 Metrotech Ctr
Fl 11
Brooklyn, NY 11201
Phone (718) 923-7100

5232 Witz Dr
North Syracuse, NY 13212
Phone (315) 632-5960

Interoperability endpoints

  • Direct secure messaging: dprado16163@direct-prd.molinahealthcare.com

Organizations & group practices 5

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": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1659054468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 SAINT CLAIR AVE E",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034649",
            "telephone_number": "786-269-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 SAINT CLAIR AVE E",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034649",
            "telephone_number": "786-269-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADO",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-08",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95037035",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "358469",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F06230584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.