Individual provider Active NPI

Cristin Nicole Wooten, ARNP-FNP

  • Family Nurse Practitioner
  • Punta Gorda, FL
National Provider Identifier
1902289374
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9181265 Issued in FL
Practice address
26060 Templar LN
Punta Gorda, FL 33983-6134
Phone
(863) 990-2317
NPI assigned
Jul 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9181265 FL
Family Nurse Practitioner 363LF0000X APRN9181265 FL Primary

Addresses

Primary practice location

26060 Templar LN
Punta Gorda, FL 33983-6134

Mailing address

26060 Templar LN
Punta Gorda, FL 33983-6134
Phone (863) 990-2317

Other practice location 1

13355 Tamiami Trl Unit E
North Port, FL 34287-2186
Phone (941) 426-1235

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
I20151210001454 FL Practitioner - Nurse Practitioner 1355642679 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Physicians IncGroup PAC ID 3476885575, 6 clinicians

Practice addresses (Care Compare)

811 Del Prado Blvd S
Cape Coral, FL 33990-2666
Phone (239) 360-2634

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9181265FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Physicians Inc CurrentSince Oct 6, 2024 Accepting new patients
FL-I Medical Services, LLC Current Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
FL-I Medical Services LLC CurrentSince Nov 12, 2015 Accepting new patients
FL-I Medical Services LLC CurrentSince Nov 12, 2015 Accepting new patients

Locations

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

811 Del Prado Blvd S
Ste B
Cape Coral, FL 33990
Phone (239) 360-2634

811 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 360-2634

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

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

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

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

Organizations & group practices 5

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": "1435881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1902289374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26060 TEMPLAR LN",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339836134",
            "telephone_number": "863-990-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26060 TEMPLAR LN",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339836134",
            "telephone_number": "863-990-2317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13355 Tamiami Trl Unit E",
            "address_purpose": "LOCATION",
            "city": "North Port",
            "state": "FL",
            "postal_code": "342872186",
            "country_code": "US",
            "telephone_number": "941-426-1235",
            "fax_number": "941-426-4464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "CRISTIN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "ARNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-03",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9181265",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9181265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.