Organization Active NPI

Physician Extenders PA

  • Family Nurse Practitioner
  • Port Charlotte, FL
National Provider Identifier
1720250855
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3365012 Issued in FL
Legal business name
PHYSICIAN EXTENDERS PA
Practice address
3028 Caring Way Unit 1
Port Charlotte, FL 33952-5300
Phone
(941) 421-5025
Fax
(941) 300-4905
NPI assigned
Mar 28, 2008
Last updated
Aug 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Mrs. Veronica Alessandro, ARNP-CNPI 1780706507
Title
Family Nurse Practitioner
Phone
(941) 425-5025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP3365012 FL Primary

Addresses

Primary practice location

3028 Caring Way Unit 1
Port Charlotte, FL 33952-5300

Mailing address

PO Box 512700
Punta Gorda, FL 33951-2700
Phone (941) 421-5025

Other identifiers 1

IdentifierTypeStateIssuer
DN3859OtherFLRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080710000524 FL Part B Supplier - Clinic/Group Practice 3779655592 Receives reassigned benefits from 2 practitioners
Practice locations: PT Charlotte, FL; Venice, FL; Punta Gorda, FL; Arcadia, FL; North Port, FL; Northport, FL; Port Charlotte, FL

National Provider Directory

National Provider Directory

Locations

3028 Caring Way
Port Charlotte, FL 33952

2370 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 624-5966

24450 Harborview Rd
Punta Gorda, FL 33980
Phone (941) 743-7775

24949 Sandhill Blvd
Punta Gorda, FL 33983
Phone (941) 205-2180

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1720250855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512700",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339512700",
            "telephone_number": "941-421-5025",
            "fax_number": "941-300-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 CARING WAY UNIT 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525300",
            "telephone_number": "941-421-5025",
            "fax_number": "941-300-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN EXTENDERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "ALESSANDRO",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "941-425-5025",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3365012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DN3859",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.