Active NPI
Lee Anne Moretti, PA
- Medical Physician Assistant
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 23015514
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 35.5
- Improvement activities
- 40
- Cost
- 53.62
Merit-based Incentive Payment System (MIPS)
- Final score
- 64.42 of 100
- Quality
- 38.39
- Improvement activities
- 40
- Cost
- 63.53
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015514 | NY | MD | Speech-Language Pathologist |
| 23015514 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FL-I Medical Services, LLC | Current | Accepting new patients | |
| FL-I Medical Services LLC | Current | Accepting new patients | |
| Wellness by Physicians, Inc. | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Fort Myers, FL
- NPI 1528353554
-
- Physical Medicine & Rehabilitation Physician
- Fort Myers, FL
- NPI 1821459322
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Nurse Practitioner
- Fort Pierce, FL
- NPI 1750655106
-
- Physician Assistant
- Haines City, FL
- NPI 1285356790
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1366853400
-
- Physical Medicine & Rehabilitation Physician
- Lady Lake, FL
- NPI 1518488907
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.