Ann Melissa Jolivain, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11034369 Issued in FL

Practice address

10676 Colonial Blvd Ste 20
Fort Myers, FL 33913-8715

Phone

(239) 288-7949

NPI assigned

Jul 30, 2024

Last updated

Jul 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Mobile Health Services CorporationGroup PAC ID 1850641721, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22489/brand/1/csg/1/fhir/r4

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.

• Premier Mobile Health Services Corporation

  • Clinic/Center
  • Fort Myers, FL
  • NPI 1639661937
  Medicare reassignment Care Compare group NPD
• Premier Mobile Medical Clinic PLLC

  • Clinic/Center
  • Fort Myers, FL
  • NPI 1386327872
  Medicare reassignment NPD
• Sante Plus Medical Center

  • Clinic/Center
  • Immokalee, FL
  • NPI 1407514904
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lee Health System Inc

  dba Lee Memorial Hospital

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025
  Care Compare affiliation

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1710716485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 TRADEWINDS DR NW",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526644",
            "telephone_number": "941-855-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10676 COLONIAL BLVD STE 20",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138715",
            "telephone_number": "239-288-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLIVAIN",
        "first_name": "ANN",
        "middle_name": "MELISSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11034369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Brian Johnson, MD
• Todd Johnson, DC
• Kay A Johnston, M.D.
• Sujit Elias Johnston, DPM
• Joint Implant Surgeons of Florida PA
• Jon P Sipos DDS PA
• Jon P. Burdzy, D.O., P.a.
• Jonathan M Frantz, MD PA (Frantz EyeCare)
• Alex Jones, AA
• Allison L Jones

• Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.