Individual provider Active NPI

Denise L Masilotti, APRN

  • Adult Health Nurse Practitioner
  • Bonita Springs, FL
National Provider Identifier
1790057727
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11025955 Issued in FL
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

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140224001606 NJ Practitioner - Nurse Practitioner 7416187281 Reassigns benefits to 2 organizations
I20250304000941 FL Practitioner - Nurse Practitioner 7416187281 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP011616PAMDAdult Health Nurse Practitioner
26NJ00356600NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Millennium Physician Group LLC CurrentSince Feb 4, 2025 Accepting new patients
Pulse Vascular, LLC CurrentSince Apr 15, 2020 Accepting new patients
Community Health Care, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Millennium Physician Group LLC CurrentSince Feb 4, 2025 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.

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

Verify at the official NPI Registry.