Active NPI
Ann Carroll Bode Biddison, APRN
- Nurse Practitioner
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN949272
- Practice address
- 1255 Viscaya Pkwy Ste 200
Cape Coral, FL 33990-3290 - Phone
- (239) 574-1988
- Fax
- (239) 574-1435
- NPI assigned
- May 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN949272 | FL | Primary |
Addresses
Primary practice location
1255 Viscaya Pkwy Ste 200
Cape Coral, FL 33990-3290
Mailing address
12730 New Brittany Blvd Ste 602
Fort Myers, FL 33907-4690
Phone (239) 275-5522
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304318500 | Medicaid | FL | |
| Y7320 | Other | FL | FLORIDA BLUE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN949272 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Internal Medicine Associates of Lee County Hospitalist Group, LLC | Past | Accepting new patients | |
| All X Ray Diagnostic Services Corp | Past | Accepting new patients | |
| Cape Coral Emergency Physicians | Past | Accepting new patients |
Locations
24600 S Tamiami Trl
Ste 400
Bonita Springs, FL 34134
Phone (239) 948-3761
636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344
1528 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 458-3338
13691 Metro Pkwy
Ste 130
Fort Myers, FL 33912
Phone (239) 349-3539
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Clinic/Center
- Miami, FL
- NPI 1659399574
-
- Emergency Medicine Physician
- Cape Coral, FL
- NPI 1225093941
-
- Hospitalist Physician
- Fort Myers, FL
- NPI 1033402185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1700837713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12730 NEW BRITTANY BLVD STE 602",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339074690",
"telephone_number": "239-275-5522",
"fax_number": "239-275-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 VISCAYA PKWY STE 200",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339903290",
"telephone_number": "239-574-1988",
"fax_number": "239-574-1435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIDDISON",
"first_name": "ANN",
"middle_name": "CARROLL BODE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN949272",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304318500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "Y7320",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.