Individual provider Active NPI

Karlene Witter, PA

  • Physician Assistant
  • Fort Myers, FL
National Provider Identifier
1740716414
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9110136 Issued in FL
Practice address
13691 Metro Pkwy
Fort Myers, FL 33912-4327
Phone
(239) 768-2272
NPI assigned
May 2, 2017
Last updated
Mar 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9110136 FL Primary

Addresses

Primary practice location

13691 Metro Pkwy
Fort Myers, FL 33912-4327

Mailing address

13691 Metro Pkwy
Fort Myers, FL 33912-4327
Phone (239) 768-2272

Other identifiers 1

IdentifierTypeStateIssuer
PA9110136OtherFLPHYSICIAN ASSISTANT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kwitter@nspc.emadirect.md

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
I20170810002734 FL Practitioner - Physician Assistant 3870864739 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 SW Chamber CT
Suite 105
Port St Lucie, FL 34986-3413
Phone (772) 807-9000

1693 Lee Rd
Suite B
Winter Park, FL 32789-2260
Phone (407) 622-5766

2721 Del Prado Blvd S
Suite 200
Cape Coral, FL 33904-5783
Phone (239) 333-1177

5365 W Atlantic Ave
Suite 504
Delray Beach, FL 33484-8194
Phone (561) 241-9300

5948 Turkey Lake Rd
Orlando, FL 32819-4202
Phone (407) 228-8080

7964 Summerlin Lakes Dr
Fort Myers, FL 33907-1816
Phone (239) 333-1177

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.19 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9110136FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
National Surgical Centers of America LLC CurrentSince Sep 1, 2021 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Sep 1, 2021 Accepting new patients
National Surgical Centers of America LLC CurrentSince Sep 1, 2021 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Sep 1, 2021 Accepting new patients
Florida Pain and Rehabilitation Associates Inc Past Accepting new patients
Florida Pain and Rehabilitation Institute Inc Past Accepting new patients

Locations

9400 Bonita Beach Rd SE
Ste 101
Bonita Springs, FL 34135
Phone (239) 333-1177

1031 SE 9th Pl
Unit 5
Cape Coral, FL 33990
Phone (239) 333-1177

5365 Atlantic Ave
Ste 501
Delray Beach, FL 33484
Phone (561) 279-3500

7964 Summerlin Lakes Dr
Fort Myers, FL 33907
Phone (239) 333-1177

150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

1693 Lee Rd
Ste A
Winter Park, FL 32789
Phone (407) 287-4300

1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1740716414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124327",
            "telephone_number": "239-768-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124327",
            "telephone_number": "239-768-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTER",
        "first_name": "KARLENE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9110136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT",
            "identifier": "PA9110136",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwitter@nspc.emadirect.md",
            "affiliation": "N",
            "address_1": "13691 Metro Pkwy",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339124327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.