Individual provider Active NPI

Jodi Van Sickle

  • Interventional Cardiology Physician
  • Naples, FL
National Provider Identifier
1861335085
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
APRN11046729 Issued in FL
Practice address
680 2ND Ave N Ste 304
Naples, FL 34102-5757
Phone
(239) 206-2833
Fax
(855) 395-9156
NPI assigned
Apr 13, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X APRN11046729 FL Primary

Addresses

Primary practice location

680 2ND Ave N Ste 304
Naples, FL 34102-5757

Mailing address

2200 Forrest LN
Naples, FL 34102-7621
Phone (239) 293-5512

Other practice location 1

730 Goodlette Rd Ste 100
Naples, FL 34102-5617
Phone (239) 206-2833

Other practice location 2

6376 Pine Ridge Rd Unit 400
Naples, FL 34119-3925
Phone (239) 206-2833

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
I20260423000012 FL Practitioner - Nurse Practitioner 4688141088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lhaw LLCGroup PAC ID 5890930135, 3 clinicians

Practice addresses (Care Compare)

680 2ND Ave N
Suite 304
Naples, FL 34102-5757
Phone (239) 206-2833

Hospital & facility affiliations

  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11046729FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lhaw LLC Single Specialty CurrentSince Apr 13, 2026 Accepting new patients

Locations

6376 Pine Ridge Rd
Unit 400
Naples, FL 34119
Phone (239) 206-2833

730 Goodlette Rd
Ste 100
Naples, FL 34102
Phone (239) 263-0849

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1861335085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 FORREST LN",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341027621",
            "telephone_number": "239-293-5512",
            "fax_number": "855-395-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 2ND AVE N STE 304",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025757",
            "telephone_number": "239-206-2833",
            "fax_number": "855-395-9156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Goodlette Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025617",
            "country_code": "US",
            "telephone_number": "239-206-2833",
            "fax_number": "855-395-9156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6376 Pine Ridge Rd Unit 400",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341193925",
            "country_code": "US",
            "telephone_number": "239-206-2833",
            "fax_number": "855-395-9156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN SICKLE",
        "first_name": "JODI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "APRN11046729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.