Active NPI
Andrea Berecz-Prewitt
- Surgical Physician Assistant
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9112497
- Practice address
- 2400 Harbor Blvd Ste 7
Port Charlotte, FL 33952-5038 - Phone
- (941) 766-5095
- NPI assigned
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9112497 | FL | Primary |
Addresses
Primary practice location
2400 Harbor Blvd Ste 7
Port Charlotte, FL 33952-5038
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Phone (813) 821-8038
Other practice location 1
1 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 821-8038
Other practice location 2
9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-6341
Other practice location 3
601 7th St S Ste 205
St Petersburg, FL 33701-4748
Phone (727) 893-6234
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104195300 | Medicaid | FL | |
| V1DWC | Other | FL | BCBS |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abereczprewitt187554@Direct.leememorial.org | Lee Memorial Health System | |
| Direct Messaging Address | abereczprewitt354398@direct.tgh.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900
13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-2606
13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260
2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4903
9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9112497 | FL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Health System Inc | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Physician Assistant | Past | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700
9800 S Healthpark Dr
Ste 320
Fort Myers, FL 33908
Phone (239) 343-6350
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
9981 S Healthpark Dr
Ste 156
Fort Myers, FL 33908
Phone (239) 343-5333
9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
2 Tampa General Cir
Tampa, FL 33606
Phone (813) 259-8700
4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- abereczprewitt187554@direct.leememorial.org
- abereczprewitt5267978@adventhealth.direct-ci.com
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- abereczprewitt354398@direct.tgh.org
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- Federally Qualified Health Center (FQHC)
- Port Charlotte, FL
- NPI 1255171765
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- General Practice Physician
- Tampa, FL
- NPI 1326088295
-
- Neurological Surgery Physician
- Tampa, FL
- NPI 1740227966
Physician Assistant
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1760299093
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1750930731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001",
"telephone_number": "813-821-8038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 HARBOR BLVD STE 7",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339525038",
"telephone_number": "941-766-5095"
}
],
"practiceLocations": [
{
"address_1": "1 Tampa General Cir",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336063571",
"country_code": "US",
"telephone_number": "813-821-8038",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9981 S Healthpark Dr",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339083618",
"country_code": "US",
"telephone_number": "239-343-6341",
"fax_number": "239-343-6342",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 7th St S Ste 205",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337014748",
"country_code": "US",
"telephone_number": "727-893-6234",
"fax_number": "727-553-7798",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERECZ-PREWITT",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9112497",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104195300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "V1DWC",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abereczprewitt187554@Direct.leememorial.org",
"affiliation": "Y",
"affiliationName": "Lee Memorial Health System",
"address_1": "2776 Cleveland Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339015864",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abereczprewitt354398@direct.tgh.org",
"affiliation": "N",
"address_1": "1 Tampa General Cir",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336063571",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 9, 2026; 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.