Active NPI
John Peter Kmetz, P.A.
- Physician Assistant
- Fort Myers, FL
National Provider Identifier
1902843352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1731
- Practice address
- 3033 Winkler Ave Unit 270
Fort Myers, FL 33916-9581 - Phone
- (239) 343-3552
- Fax
- (239) 468-7970
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1731 | FL | Primary |
| Surgical Physician Assistant | 363AS0400X | PA1731 | FL |
Addresses
Primary practice location
3033 Winkler Ave Unit 270
Fort Myers, FL 33916-9581
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-3552
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902843352 | Other | FL | TRICARE |
| 36291 | Other | FL | BCBS |
| 3464527 | Other | FL | CIGNA |
| PA0001731 | Other | FL | PA LICENSE |
| 131843800 | Medicaid | FL | |
| 9423471 | Other | FL | AETNA |
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, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3033 Winkler Ave
Unit 100
Fort Myers, FL 33916-9523
Phone (239) 277-7070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1731 | FL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gardner Orthopedics, LLC | Current | Accepting new patients | |
| Orthopedic Specialists of SW Florida, P.a. | Past | Accepting new patients | |
| Kagan, Jugan & Associates | Past | Accepting new patients |
Locations
3033 Winkler Avenue Ext
Fort Myers, FL 33916
Phone (239) 277-7070
3033 Winkler Ave
Unit 100
Fort Myers, FL 33916
Phone (239) 277-7070
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 4
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.
-
- Specialist
- Fort Myers, FL
- NPI 1841682705
-
- Orthopaedic Surgery Physician
- Fort Myers, FL
- NPI 1720187495
-
- Orthopaedic Surgery Physician
- Cape Coral, FL
- NPI 1699000828
-
- Orthopaedic Surgery Physician
- Fort Myers, FL
- NPI 1770410433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1902843352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-3552",
"fax_number": "239-468-7970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3033 WINKLER AVE UNIT 270",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339169581",
"telephone_number": "239-343-3552",
"fax_number": "239-468-7970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KMETZ",
"first_name": "JOHN",
"middle_name": "PETER",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA1731",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA1731",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1902843352",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "36291",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3464527",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "PA0001731",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131843800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9423471",
"state": "FL"
}
],
"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 Jul 27, 2026; 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.