Individual provider Active NPI

Victoria M. Vernon, APRN

  • Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1699301499
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11027441 Issued in FL
Practice address
13770 Plantation Rd Ste 2
Fort Myers, FL 33912-4460
Phone
(239) 275-0728
Fax
(239) 275-6947
NPI assigned
Mar 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11027441 FL Primary

Addresses

Primary practice location

13770 Plantation Rd Ste 2
Fort Myers, FL 33912-4460

Mailing address

13770 Plantation Rd Ste 2
Fort Myers, FL 33912-4460
Phone (239) 275-0728

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
I20230831000298 FL Practitioner - Nurse Practitioner 9830552314 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.55 of 100Reported as apm
Quality
84.49
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Health System Inc Nurse Practitioner CurrentSince Feb 23, 2025 Accepting new patients
Genesiscare USA of Florida LLC Current Accepting new patients
Lee Memorial Health System CurrentSince Sep 23, 2024 Accepting new patients
Lee Health System Inc CurrentSince Feb 23, 2025 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Aug 28, 2023 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Aug 28, 2023 Accepting new patients
Lee Memorial Health System CurrentSince Sep 23, 2024 Accepting new patients
Lee Memorial Health System Nurse Practitioner Current Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

2721 Del Prado Blvd S
Ste 210
Cape Coral, FL 33904
Phone (239) 275-0728

1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202

23450 Via Coconut Pt
Estero, FL 34135
Phone (239) 468-0150

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

3680 Broadway
Fort Myers, FL 33901
Phone (239) 936-0380

13770 Plantation Rd
Ste 2
Fort Myers, FL 33912
Phone (239) 275-0728

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 8

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": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1699301499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13770 PLANTATION RD STE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124460",
            "telephone_number": "239-275-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13770 PLANTATION RD STE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124460",
            "telephone_number": "239-275-0728",
            "fax_number": "239-275-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNON",
        "first_name": "VICTORIA",
        "middle_name": "M.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11027441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.