Individual provider Active NPI

Miosotis Aymee Ridley, FNP

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1760146724
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11027305 Issued in FL
Practice address
12670 Creekside LN Ste 202
Fort Myers, FL 33919-3370
Phone
(239) 482-2663
Fax
(239) 482-7585
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5015269 NC
Family Nurse Practitioner 363LF0000X 11027305 FL Primary

Addresses

Primary practice location

12670 Creekside LN Ste 202
Fort Myers, FL 33919-3370

Mailing address

12670 Creekside LN Ste 202
Fort Myers, FL 33919-3370
Phone (239) 482-2663

Other practice location 1

1404 Fern Creek Dr
Statesville, NC 28625-9376
Phone (704) 978-4025

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
I20230726004165 FL Practitioner - Nurse Practitioner 6507257151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Center of Florida, IncGroup PAC ID 9931183639, 48 clinicians
Advanced Physical Therapy and Rehab of Cape Coral LLCGroup PAC ID 1951439660, 64 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

12670 Creekside LN
Suite 202
Fort Myers, FL 33919-3370
Phone (239) 482-2663

1402 SE 16TH PL
Cape Coral, FL 33990-3819
Phone (239) 772-2363

4316 Lee Blvd
Lehigh Acres, FL 33971-1735
Phone (239) 368-7744

Hospital & facility affiliations

  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286

Merit-based Incentive Payment System (MIPS)

Final score
82.04 of 100Reported as group
Quality
65.4
Promoting interoperability
98
Improvement activities
40
Cost
76.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11027305FLMDFamily Nurse Practitioner
5015269NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health LLC Current Accepting new patients
Orthopedic Center of Florida, Inc CurrentSince May 7, 2025 Accepting new patients
Orthopedic Center of Florida, Inc CurrentSince May 7, 2025 Accepting new patients
Gastro Health, LLC CurrentSince Aug 13, 2023 Accepting new patients

Locations

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

12670 Creekside Ln
Ste 202
Fort Myers, FL 33919
Phone (239) 267-2263

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

3530 Kraft Rd
Ste 201
Naples, FL 34105
Phone (239) 445-2112

Interoperability endpoints

  • Direct secure messaging: miosotis.ridley.1@22724.direct.athenahealth.com

Organizations & group practices 5

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 4

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": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1760146724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12670 CREEKSIDE LN STE 202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193370",
            "telephone_number": "239-482-2663",
            "fax_number": "239-482-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12670 CREEKSIDE LN STE 202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193370",
            "telephone_number": "239-482-2663",
            "fax_number": "239-482-7585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1404 Fern Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286259376",
            "country_code": "US",
            "telephone_number": "704-978-4025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDLEY",
        "first_name": "MIOSOTIS",
        "middle_name": "AYMEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015269",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11027305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.