Individual provider Active NPI

Lee Anne Moretti, PA

  • Medical Physician Assistant
  • Fort Myers, FL
National Provider Identifier
1861767261
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
23015514 Issued in NY
Practice address
6150 Diamond Centre CT BLDG 100
Fort Myers, FL 33912-4367
Phone
(239) 768-6396
Fax
(239) 204-3000
NPI assigned
Mar 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 23015514 NY Primary

Addresses

Primary practice location

6150 Diamond Centre CT BLDG 100
Fort Myers, FL 33912-4367

Mailing address

8431 Austrian Blvd
Punta Gorda, FL 33982-7201
Phone (716) 982-6581

Other practice location 1

21298 Olean Blvd
Port Charlotte, FL 33952-6705
Phone (941) 624-8815

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
I20160420001678 FL Practitioner - Physician Assistant 2264692029 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
Physicians for Quality Healthcare, Inc.Group PAC ID 1052583002, 7 clinicians
Wellness by Physicians IncGroup PAC ID 4688966260, 10 clinicians

Practice addresses (Care Compare)

5668 Strand CT
Naples, FL 34110-3343
Phone (239) 687-2165

773 Hwy 466
Lady Lake, FL 32159-6340
Phone (239) 768-6396

Merit-based Incentive Payment System (MIPS)

Final score
60.29 of 100Reported as group
Quality
35.5
Improvement activities
40
Cost
53.62

Merit-based Incentive Payment System (MIPS)

Final score
64.42 of 100Reported as group
Quality
38.39
Improvement activities
40
Cost
63.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015514NYMDSpeech-Language Pathologist
23015514NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
FL-I Medical Services, LLC CurrentSince Mar 14, 2016 Accepting new patients
FL-I Medical Services LLC CurrentSince Mar 14, 2016 Accepting new patients
Wellness by Physicians, Inc. CurrentSince Aug 12, 2019 Accepting new patients

Locations

24870 S Tamiami Trl
Ste 3
Bonita Springs, FL 34134
Phone (239) 676-3663

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

6150 Diamond Centre Ct
Bldg 100
Fort Myers, FL 33912
Phone (239) 768-6896

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

773 Highway 466
Lady Lake, FL 32159
Phone (321) 274-1864

733 Highway 466
Lady Lake, FL 32159
Phone (352) 205-7702

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3417 Tamiami Trl
Ste A
Pt Charlotte, FL 33952
Phone (941) 344-9249

21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032

4064 E Sr 44
Ste A
Wildwood, FL 34785
Phone (352) 404-6919

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": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1861767261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8431 AUSTRIAN BLVD",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339827201",
            "telephone_number": "716-982-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 DIAMOND CENTRE CT BLDG 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124367",
            "telephone_number": "239-768-6396",
            "fax_number": "239-204-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21298 Olean Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339526705",
            "country_code": "US",
            "telephone_number": "941-624-8815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORETTI",
        "first_name": "LEE",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "23015514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.