Active NPI
Amy Lynn Jeffries
- Family Nurse Practitioner
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11032490
- Practice address
- 2776 Cleveland Ave
Fort Myers, FL 33901-5864 - Phone
- (239) 343-1614
- Fax
- (239) 343-3695
- NPI assigned
- Jun 8, 2011
- Last updated
- Oct 15, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP011356 | PA | |
| Family Nurse Practitioner | 363LF0000X | COA.12348-NP | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN11032490 | FL | Primary |
Addresses
Primary practice location
2776 Cleveland Ave
Fort Myers, FL 33901-5864
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-1614
Other practice location 1
6252 Mahoning Ave
Austintown, OH 44515-2003
Phone (330) 656-5911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124007000 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ajeffries413632@Direct.leememorial.org | Direct | Lee Memorial Health System |
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
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11190 Health Park Blvd
Naples, FL 34110-5729
Phone (239) 513-7000
9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-2606
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.99 of 100
- Quality
- 97.69
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.8 of 100
- Quality
- 79.54
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.13 of 100
- Quality
- 78.7
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.13 of 100
- Quality
- 79.67
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.55 of 100
- Quality
- 84.49
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.12348-NP | OH | MD | Family Nurse Practitioner |
| SP011356 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Southwest Florida Emergency Management LLC | Current | Accepting new patients | |
| Thse - Marco Urgent Care LLC | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Ohio Valley Physicians Inc | Family | Past | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
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
Fort Myers, FL 33908
Phone (239) 332-5344
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
40 S Heathwood Dr
Marco Island, FL 34145
Phone (239) 393-4079
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- ajeffries413632@direct.leememorial.org
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1780911206
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
-
- Internal Medicine Physician
- Marco Island, FL
- NPI 1801125331
-
dba Lee Health Specialty Pharmacy
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
dba LCH-Golisano Peds PC Bayshore
- Federally Qualified Health Center (FQHC)
- Port Charlotte, FL
- NPI 1255171765
-
dba LCH -Adult Hematology/Oncology
- Federally Qualified Health Center (FQHC)
- Fort Myers, FL
- NPI 1720715295
-
dba OVP Health
- Substance Abuse Rehabilitation Facility
- South Point, OH
- NPI 1750776068
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1780978619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-1614",
"fax_number": "239-343-3695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2776 CLEVELAND AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339015864",
"telephone_number": "239-343-1614",
"fax_number": "239-343-3695"
}
],
"practiceLocations": [
{
"address_1": "6252 Mahoning Ave",
"address_purpose": "LOCATION",
"city": "Austintown",
"state": "OH",
"postal_code": "445152003",
"country_code": "US",
"telephone_number": "330-656-5911",
"fax_number": "330-656-5901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEFFRIES",
"first_name": "AMY",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-08",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP011356",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.12348-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11032490",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124007000",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ajeffries413632@Direct.leememorial.org",
"affiliation": "Y",
"affiliationName": "Lee Memorial Health System",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2776 Cleveland Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339015864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.