Individual provider Active NPI

Christie A Kusmierek, P.A.

  • Physician Assistant
  • New York, NY
National Provider Identifier
1811236110
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
034781 Issued in NY
Practice address
489 5TH Ave FL 3
New York, NY 10017-6145
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Feb 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 034781 NY Primary
Physician Assistant 363A00000X PA9107047 FL

Addresses

Primary practice location

489 5TH Ave FL 3
New York, NY 10017-6145

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (888) 663-6331

Other practice location 1

8260 Gladiolus Dr
Fort Myers, FL 33908-4156
Phone (239) 437-5755

Other practice location 2

8981 Colonial Center Dr
Fort Myers, FL 33905-7816
Phone (239) 938-0800

Other practice location 3

2776 Cleveland Ave
Fort Myers, FL 33901-5855
Phone (239) 343-2052

Other practice location 4

9981 S Healthpark Dr # 2-West
Fort Myers, FL 33908-3618
Phone (239) 343-2052

Other identifiers 1

IdentifierTypeStateIssuer
015921100MedicaidFL

Other names 1

  • Christie Freese Former name

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
I20130628000422 FL Practitioner - Physician Assistant 5698915460 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Cancer Specialists and Research Institute, LLCGroup PAC ID 2567356058, 464 clinicians

Practice addresses (Care Compare)

1100 Goodlette Rd N
Research Institute LLC
Naples, FL 34102-5451
Phone (239) 424-0656

3840 Broadway
Fort Myers, FL 33901-8108
Phone (239) 275-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
034781NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Jun 19, 2025 Accepting new patients
Lee Health System Inc CurrentSince Nov 1, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Nov 2, 2015 Accepting new patients
Lee Health System Inc CurrentSince Nov 1, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Nov 2, 2015 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients

Locations

9776 Bonita Beach Rd SE
Ste 201A
Bonita Springs, FL 34135
Phone (239) 947-3092

1030 Commerce Creek Blvd
Cape Coral, FL 33909
Phone (239) 997-3081

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

8440 Murano del Lago Dr
Estero, FL 34135
Phone (239) 221-5402

8981 Colonial Center Dr
Fort Myers, FL 33905
Phone (239) 938-0800

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700

8260 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 437-5755

9981 S Healthpark Dr
#2
Fort Myers, FL 33908
Phone (239) 343-2052

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

1100 Goodlette Rd
Naples, FL 34102
Phone (239) 434-0656

3530 Kraft Rd
Ste 300301
Naples, FL 34105
Phone (239) 353-6636

8350 Sierra Meadows Blvd
Fl 2
Naples, FL 34113
Phone (239) 732-3140

8350 Sierra Meadows Blvd
#2
Naples, FL 34113
Phone (239) 732-3140

8350 Sierra Meadows Blvd
Ste 2
Naples, FL 34113

3530 Kraft Rd
Ste 300
Naples, FL 34105
Phone (239) 353-6636

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

1390 Grand Venture Dr
North Port, FL 34286
Phone (941) 257-2280

22395 Edgewater Dr
Pt Charlotte, FL 33980
Phone (941) 766-7222

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

Organizations & group practices 7

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": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1811236110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "888-663-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 5TH AVE FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176145",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8260 Gladiolus Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339084156",
            "country_code": "US",
            "telephone_number": "239-437-5755",
            "fax_number": "239-437-5776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8981 Colonial Center Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339057816",
            "country_code": "US",
            "telephone_number": "239-938-0800",
            "fax_number": "866-420-0122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2776 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339015855",
            "country_code": "US",
            "telephone_number": "239-343-2052",
            "fax_number": "239-424-1421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9981 S Healthpark Dr # 2-West",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083618",
            "country_code": "US",
            "telephone_number": "239-343-2052",
            "fax_number": "239-343-5348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUSMIEREK",
        "first_name": "CHRISTIE",
        "middle_name": "A",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "034781",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107047",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015921100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIE",
            "last_name": "FREESE",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.