Individual provider Active NPI

Mitzi Schardt, MSN NP

  • Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1821267816
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9168446 Issued in FL
Practice address
7890 Summerlin Lakes Dr
Suite 103
Fort Myers, FL 33907-1851
Phone
(239) 590-3883
Fax
(239) 590-3884
NPI assigned
Feb 25, 2008
Last updated
Feb 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9168446 FL Primary
Family Nurse Practitioner 363LF0000X ARNP9168446 FL

Addresses

Primary practice location

7890 Summerlin Lakes Dr
Suite 103
Fort Myers, FL 33907-1851

Mailing address

7890 Summerlin Lakes Dr
Suite 103
Fort Myers, FL 33907-1851
Phone (239) 590-3883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213000696 AZ Practitioner - Nurse Practitioner 9537518782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

700 N Estrella Pkwy
Suite 145
Goodyear, AZ 85338-9329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9168446FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Health and Wellness Center PLLC CurrentSince Aug 3, 2025 Accepting new patients
Optimal Mens Center PLLC CurrentSince Nov 7, 2023 Accepting new patients

Locations

8190 W Union Hills Dr
Ste 145
Glendale, AZ 85308
Phone (602) 678-4625

700 N Estrella Pkwy
Ste 145
Goodyear, AZ 85338
Phone (602) 678-4625

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20695/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mitzi.schardt.1@20695.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1821267816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7890 SUMMERLIN LAKES DR",
            "address_2": "SUITE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071851",
            "telephone_number": "239-590-3883",
            "fax_number": "239-590-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7890 SUMMERLIN LAKES DR",
            "address_2": "SUITE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071851",
            "telephone_number": "239-590-3883",
            "fax_number": "239-590-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHARDT",
        "first_name": "MITZI",
        "credential": "MSN NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9168446",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9168446",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.