Active NPI
Denise L Masilotti, APRN
- Adult Health Nurse Practitioner
- Bonita Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11025955
- Practice address
- 9410 Fountain Medical CT Ste A102
Bonita Springs, FL 34135-4525 - Phone
- (239) 948-9600
- Fax
- (239) 948-9603
- NPI assigned
- Feb 7, 2012
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP011616 | PA | |
| Family Nurse Practitioner | 363LF0000X | 26NJ00356600 | NJ | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN11025955 | FL | Primary |
Addresses
Primary practice location
9410 Fountain Medical CT Ste A102
Bonita Springs, FL 34135-4525
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other practice location 1
95 Woodstown Rd
Suite B
Swedesboro, NJ 08085-3181
Phone (856) 832-4359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP011616 | PA | MD | Adult Health Nurse Practitioner |
| 26NJ00356600 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care, Inc. | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Pulse Vascular, LLC | Current | Accepting new patients | |
| Community Health Care, Inc. | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Inspira Medical Centers, Inc. | Past | Accepting new patients |
Locations
9410 Fountain Medical Ct
Ste A102
Bonita Springs, FL 34135
Phone (239) 948-9600
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
30 N Pearl St
Bridgeton, NJ 08302
335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720
994 W Sherman Ave
Bldg 2
Vineland, NJ 08360
Phone (631) 534-7246
1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Federally Qualified Health Center (FQHC)
- Bridgeton, NJ
- NPI 1700816816
-
- Vascular & Interventional Radiology Physician
- Vineland, NJ
- NPI 1255899704
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Federally Qualified Health Center (FQHC)
- Williamstown, NJ
- NPI 1194568303
-
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1790057727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774",
"fax_number": "239-948-9603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9410 FOUNTAIN MEDICAL CT STE A102",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341354525",
"telephone_number": "239-948-9600",
"fax_number": "239-948-9603"
}
],
"practiceLocations": [
{
"address_1": "95 Woodstown Rd",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Swedesboro",
"state": "NJ",
"postal_code": "080853181",
"country_code": "US",
"telephone_number": "856-832-4359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASILOTTI",
"first_name": "DENISE",
"middle_name": "L",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-07",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP011616",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00356600",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11025955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.