Individual provider Active NPI

Natalia Mysh, APN

  • Adult Health Nurse Practitioner
  • Naples, FL
National Provider Identifier
1679938237
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11009168 Issued in FL
Practice address
1000 Airport Rd S # Pullings
Naples, FL 34104-4366
Phone
(239) 307-1800
Fax
(239) 308-1799
NPI assigned
Dec 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00589100 NJ
Gerontology Nurse Practitioner 363LG0600X 26NJ00589100 NJ
Adult Health Nurse Practitioner 363LA2200X 11009168 FL Primary

Addresses

Primary practice location

1000 Airport Rd S # Pullings
Naples, FL 34104-4366

Mailing address

1685 McGregor Reserve Dr
Fort Myers, FL 33901-9658
Phone (201) 317-3386

Other practice location 1

10949 Parnu St
Naples, FL 34109-1405
Phone (239) 592-5501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160930000061 NJ Practitioner - Nurse Practitioner 4183911456 Reassigns benefits to 1 organization
I20211012002426 FL Practitioner - Nurse Practitioner 4183911456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mogilishetty PLLCGroup PAC ID 0648680579, 7 clinicians
Associates in Nephrology Butcher and Devacaanthan MD PAGroup PAC ID 4587567953, 21 clinicians

Practice addresses (Care Compare)

821 State Rd
Suite 44
New Smyrna Beach, FL 32168-7271
Phone (386) 409-8855

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11009168FLMDAdult Health Nurse Practitioner
26NJ00589100NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Subacute Medical Associates CurrentSince Jul 5, 2016 Accepting new patients
Mogilishetty PLLC CurrentSince Jan 19, 2026 Accepting new patients
Associates in Nephrology Butcher & Devacaanthan MD PA CurrentSince Oct 1, 2025 Accepting new patients
Dispatchhealth-Florida Inc. PastSince Aug 1, 2021 Accepting new patients

Locations

1320 SE 8th St
Cape Coral, FL 33990

7981 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 425-6633

821 State Road 44
New Smyrna Beach, FL 32168
Phone (386) 409-8855

110 Grove Ave
Cedar Grove, NJ 07009
Phone (973) 571-6600

129 Morris Tpke
Newton, NJ 07860
Phone (973) 948-5400

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

Interoperability endpoints

  • Direct secure messaging: natalia.mysh.1@22073.direct.athenahealth.com

Organizations & group practices 4

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": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1679938237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 MCGREGOR RESERVE DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019658",
            "telephone_number": "201-317-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 AIRPORT RD S # PULLINGS",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341044366",
            "telephone_number": "239-307-1800",
            "fax_number": "239-308-1799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10949 Parnu St",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341091405",
            "country_code": "US",
            "telephone_number": "239-592-5501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYSH",
        "first_name": "NATALIA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00589100",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00589100",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11009168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.