Individual provider Active NPI

Malorie Nicole Saccomani, NP

  • Family Nurse Practitioner
  • Bonita Springs, FL
National Provider Identifier
1699233312
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000629 Issued in FL
Practice address
27200 Imperial Pkwy
Bonita Springs, FL 34135-5801
Phone
(239) 994-7399
NPI assigned
Mar 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11000629 FL Primary

Addresses

Primary practice location

27200 Imperial Pkwy
Bonita Springs, FL 34135-5801

Mailing address

1720 Cornwallis Pkwy
Cape Coral, FL 33904-4058

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL malorie.saccomani@hopehcs.org

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
I20241210004353 FL Practitioner - Nurse Practitioner 4385170604 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Hospice and Community Services, Inc CurrentSince Sep 22, 2024 Accepting new patients

Locations

27200 Imperial Pkwy
Bonita Springs, FL 34135
Phone (239) 444-4168

16131 Roserush Ct
Fort Myers, FL 33908
Phone (239) 343-7300

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": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1699233312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 CORNWALLIS PKWY",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339044058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27200 IMPERIAL PKWY",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341355801",
            "telephone_number": "239-994-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCOMANI",
        "first_name": "MALORIE",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "malorie.saccomani@hopehcs.org",
            "affiliation": "N",
            "address_1": "27200 Imperial Pkwy",
            "city": "Bonita Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341355801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

Verify at the official NPI Registry.