Individual provider Active NPI

Robert Mark Payne, NP

  • Acute Care Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1710317086
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
ARNP9271358 Issued in FL
Practice address
14560 Hope Center Loop
Fort Myers, FL 33912-4711
Phone
(239) 939-0999
Fax
(239) 939-1070
NPI assigned
Nov 22, 2013
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X ARNP9271358 FL Primary

Addresses

Primary practice location

14560 Hope Center Loop
Fort Myers, FL 33912-4711

Mailing address

14560 Hope Center Loop
Fort Myers, FL 33912-4711
Phone (239) 939-0999

Other practice location 1

9550 Bonita Beach Rd SE Ste 108
Bonita Springs, FL 34135-4771
Phone (239) 939-0999

Other practice location 2

1320 SE 8th St
Cape Coral, FL 33990-2952
Phone (239) 939-0999

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
I20150303001810 FL Practitioner - Nurse Practitioner 9638495989 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Myers Chiropractic & Nutrition Center, Inc. CurrentSince Oct 22, 2014 Accepting new patients
Associates in Nephrology Butcher & Devacaanthan MD PA CurrentSince May 2, 2016 Accepting new patients
Mogilishetty PLLC PastSince Nov 13, 2022 Accepting new patients

Locations

9550 Bonita Beach Rd SE
Ste 108
Bonita Springs, FL 34135
Phone (239) 444-1919

1320 SE 8th St
Cape Coral, FL 33990

14560 Hope Center Loop
Fort Myers, FL 33912
Phone (239) 939-1099

3800 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 936-1233

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

3400 Lee Blvd
Ste 112
Lehigh Acres, FL 33971

Interoperability endpoints

  • Direct secure messaging: robert.payne.1@22073.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1710317086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14560 HOPE CENTER LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124711",
            "telephone_number": "239-939-0999",
            "fax_number": "239-939-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14560 HOPE CENTER LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124711",
            "telephone_number": "239-939-0999",
            "fax_number": "239-939-1070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9550 Bonita Beach Rd SE Ste 108",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341354771",
            "country_code": "US",
            "telephone_number": "239-939-0999",
            "fax_number": "239-939-1070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 SE 8th St",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339902952",
            "country_code": "US",
            "telephone_number": "239-939-0999",
            "fax_number": "239-939-1070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "ROBERT",
        "middle_name": "MARK",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-22",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9271358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.