Individual provider Active NPI

Miraleen Patel, NP

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1881218246
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11007238 Issued in FL
Practice address
5710 Trailwinds Dr Apt 524
Fort Myers, FL 33907-8338
Phone
(330) 303-1008
NPI assigned
Jun 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11007238 FL Primary

Addresses

Primary practice location

5710 Trailwinds Dr Apt 524
Fort Myers, FL 33907-8338

Mailing address

5710 Trailwinds Dr Apt 524
Fort Myers, FL 33907-8338
Phone (330) 303-1008

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
I20250411003215 FL Practitioner - Nurse Practitioner 9537683495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sage Infusion, LLCGroup PAC ID 1254660467, 44 clinicians

Practice addresses (Care Compare)

8880 Gladiolus Dr
Suite C 200
Fort Myers, FL 33908-5119
Phone (239) 533-5962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11007238FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Infusion, LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

8880 Gladiolus Dr
Ste C200
Fort Myers, FL 33908
Phone (239) 533-5962

8880 Gladiolus Dr
Apt C200
Fort Myers, FL 33908

1090 NW 8th Ave
Ste 30
Gainesville, FL 32601
Phone (352) 450-8886

3200 SW 34th Ave
Ste 502
Ocala, FL 34474
Phone (352) 237-7355

2191 9th Ave N
Ste 105
St Petersburg, FL 33713
Phone (727) 209-1419

4728 N Habana Ave
Ste 101B
Tampa, FL 33614
Phone (813) 775-9997

910 Old Camp Rd
Ste 196
The Villages, FL 32162
Phone (352) 565-5553

2789 Brownwood Blvd
The Villages, FL 32163
Phone (352) 450-3080

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.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1881218246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 TRAILWINDS DR APT 524",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339078338",
            "telephone_number": "330-303-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 TRAILWINDS DR APT 524",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339078338",
            "telephone_number": "330-303-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MIRALEEN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.