Robert Ravenscroft

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11023146 Issued in FL

Practice address

6804 Porto Fino Cir FL 33912
Fort Myers, FL 33912-7139

Phone

(239) 332-4700

Fax

(888) 769-5641

NPI assigned

Dec 13, 2022

Last updated

Aug 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Robert Ravenscroft Other name

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Compass Health Systems PAGroup PAC ID 6204733413, 59 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Compass Health Systems, P.a.

  • Psychiatry Physician
  • North Miami, FL
  • NPI 1619965795
  Medicare reassignment Care Compare group
• Willough Healthcare, Inc

  dba The Willough at Naples

  • Psychiatric Hospital
  • Naples, FL
  • NPI 1932138823
  Medicare reassignment NPD
• Morris Medical Center, P.a.

  • Family Medicine Physician
  • Labelle, FL
  • NPI 1528148673
  NPD
• Pomila Integrated Wellness LLC

  • Psychiatry Physician
  • Estero, FL
  • NPI 1740865013
  NPD

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1851002505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9091 W RIDGE CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121870",
            "telephone_number": "239-560-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6804 PORTO FINO CIR FL 33912",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127139",
            "telephone_number": "239-332-4700",
            "fax_number": "888-769-5641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9091 W Ridge Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339121870",
            "country_code": "US",
            "telephone_number": "239-560-7958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVENSCROFT",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-13",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11023146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "RAVENSCROFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary E. Raulerson, PA-C
• Charity A Rausch, RPH
• Kellie Rausch, MSW
• Ojash Raval, D.O.
• Tess Raven, M.ED
• Suprithi Ravi, M.D.
• Vikas Ravi, MD
• Vijaya L Ravindran, MD
• Lavanya Ravipati
• Nagesh B Ravipati, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.