Active NPI
Mary Ellen Miller, ARNP
- Women's Health Nurse Practitioner
- Fort Myers, FL
National Provider Identifier
1811066160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- ARNP406032
- Practice address
- 3920 Michigan Ave
Fort Myers, FL 33916-2205 - Phone
- (239) 332-9501
- Fax
- (239) 461-6135
- NPI assigned
- Nov 8, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP406032 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | ARNP406032 | FL | |
| Women's Health Nurse Practitioner | 363LW0102X | ARNP406032 | FL | Primary |
Addresses
Primary practice location
3920 Michigan Ave
Fort Myers, FL 33916-2205
Mailing address
3920 Michigan Ave
Fort Myers, FL 33916-2205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP406032 | FL | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | Past | Accepting new patients | |
| Florida Department of Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Lee County Health Department
- Public Health or Welfare Agency
- Fort Myers, FL
- NPI 1154392686
-
dba Levy County Health Department
- Public Health or Welfare Agency
- Bronson, FL
- NPI 1154395390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1811066160",
"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"
},
{
"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": "239-332-9501",
"fax_number": "239-461-6135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MARY",
"middle_name": "ELLEN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP406032",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP406032",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "FL",
"license": "ARNP406032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.