Individual provider Active NPI

Marina Adel Khalil, APRN, FNP-C

  • Family Medicine Physician
  • Lehigh Acres, FL
National Provider Identifier
1720975055
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11040262 Issued in FL
Practice address
1220 Business Way Ste 2
Lehigh Acres, FL 33936-6073
Phone
(239) 303-2600
Fax
(239) 303-2604
NPI assigned
Jun 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11040262 FL Primary

Addresses

Primary practice location

1220 Business Way Ste 2
Lehigh Acres, FL 33936-6073

Mailing address

1220 Business Way Ste 2
Lehigh Acres, FL 33936-6073
Phone (239) 303-2600

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
I20251121002185 FL Practitioner - Nurse Practitioner 9638661275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associates in Medicine and Surgery LLCGroup PAC ID 8123167723, 17 clinicians

Practice addresses (Care Compare)

1220 Business Way
Suite 2
Lehigh Acres, FL 33936-6073
Phone (239) 303-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11040262FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Medicine & Surgery LLC Family Medicine CurrentSince Aug 25, 2025 Accepting new patients
Im Healthcare PA PastSince Aug 25, 2025 Accepting new patients

Locations

8851 Boardroom Cir
Fort Myers, FL 33919
Phone 23948170008810

1220 Business Way
Ste 2
Lehigh Acres, FL 33936
Phone (239) 303-2600

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1720975055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 BUSINESS WAY STE 2",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366073",
            "telephone_number": "239-303-2600",
            "fax_number": "239-303-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 BUSINESS WAY STE 2",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366073",
            "telephone_number": "239-303-2600",
            "fax_number": "239-303-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "MARINA",
        "middle_name": "ADEL",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11040262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.