Individual provider Active NPI

Vanessa Mattos, APRN

  • Primary Care Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1831886605
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11027157 Issued in FL
Practice address
3236 Forum Blvd # 1069
Fort Myers, FL 33905-5582
Phone
(239) 821-2272
NPI assigned
Apr 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11027157 FL Primary
Family Nurse Practitioner 363LF0000X APRN11027157 FL

Addresses

Primary practice location

3236 Forum Blvd # 1069
Fort Myers, FL 33905-5582

Mailing address

3236 Forum Blvd # 1069
Fort Myers, FL 33905-5582
Phone (239) 821-2272

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
I20230828000788 FL Practitioner - Nurse Practitioner 8123488103 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

1708 Cape Coral Pkwy W
Cape Coral, FL 33914-6985
Phone (239) 540-1495

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11027157FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synergic Healthcare Solutions LLC CurrentSince Feb 4, 2026 Accepting new patients
Women'S Contemporary Health Center, PLLC CurrentSince Aug 7, 2023 Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Feb 4, 2026 Accepting new patients
Synergic Healthcare Solutions LLC Current Accepting new patients
Millennium Physician Group LLC CurrentSince Jun 6, 2025 Accepting new patients
Millennium Physician Group LLC CurrentSince Jun 6, 2025 Accepting new patients

Locations

1708 Cape Coral Pkwy W
Ste 6
Cape Coral, FL 33914
Phone (239) 540-1495

1708 Cape Coral Pkwy W
Cape Coral, FL 33914
Phone (239) 333-3333

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

6150 Diamond Centre Ct
Bldg 400
Fort Myers, FL 33912
Phone (239) 333-0828

6150 Diamond Centre Ct
Unit 400
Fort Myers, FL 33912
Phone (239) 333-3345

1213 Piper Blvd
Ste 203
Naples, FL 34110
Phone (239) 561-9191

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

3301 W Gandy Blvd
Tampa, FL 33611
Phone (318) 925-1903

5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400

16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700

200 N Bryant Ave
Ste 10
Edmond, OK 73034

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": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1831886605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 FORUM BLVD # 1069",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339055582",
            "telephone_number": "239-821-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 FORUM BLVD # 1069",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339055582",
            "telephone_number": "239-821-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOS",
        "first_name": "VANESSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11027157",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11027157",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.