Individual provider Active NPI

Jean G Mekas, ARNP

  • Women's Health Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1811009020
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
ARNP2077132 Issued in FL
Practice address
3920 Michigan Ave
Fort Myers, FL 33916-2205
Phone
(239) 656-2536
Fax
(239) 656-2555
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X ARNP2077132 FL Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X ARNP2077132 FL

Addresses

Primary practice location

3920 Michigan Ave
Fort Myers, FL 33916-2205

Mailing address

3920 Michigan Ave
Fort Myers, FL 33916-2205
Phone (239) 656-2536

Other identifiers 1

IdentifierTypeStateIssuer
033697100MedicaidFL

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
I20100614000548 FL Practitioner - Nurse Practitioner 4284764515 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Mar 28, 2010 Accepting new patients
Florida Department of Health CurrentSince Mar 28, 2010 Accepting new patients
Collier Health Services Inc Past Accepting new patients

Locations

3920 Michigan Ave
Fort Myers, FL 33916
Phone (239) 332-9501

2295 Victoria Ave
Fl 2
Fort Myers, FL 33901
Phone (239) 332-9568

83 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 461-6100

Organizations & group practices 3

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1811009020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 MICHIGAN AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162205",
            "telephone_number": "239-656-2536",
            "fax_number": "239-656-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 MICHIGAN AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162205",
            "telephone_number": "239-656-2536",
            "fax_number": "239-656-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKAS",
        "first_name": "JEAN",
        "middle_name": "G",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP2077132",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP2077132",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033697100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.