Individual provider Active NPI

Rebecca Alberti de Puell, D.N.P., F.N.P.-BC

  • Family Nurse Practitioner
  • Marco Island, FL
National Provider Identifier
1922153386
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9330314 Issued in FL
Practice address
247 N Collier Blvd Ste 101
Marco Island, FL 34145-3015
Phone
(239) 389-9900
NPI assigned
Jan 24, 2007
Last updated
Aug 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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 ARNP9330314 FL Primary

Addresses

Primary practice location

247 N Collier Blvd Ste 101
Marco Island, FL 34145-3015

Mailing address

1104 Cedar CT
Marco Island, FL 34145-2505
Phone (239) 389-9900

Other identifiers 1

IdentifierTypeStateIssuer
004145500MedicaidFL

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
I20121106000367 FL Practitioner - Nurse Practitioner 4981855608 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9330314FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Angel's Medical Company CurrentSince Apr 5, 2014 Accepting new patients

Locations

5240 Golden Gate Pkwy
Naples, FL 34116
Phone (239) 234-6835

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1922153386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 CEDAR CT",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341452505",
            "telephone_number": "239-389-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 N COLLIER BLVD STE 101",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341453015",
            "telephone_number": "239-389-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTI DE PUELL",
        "first_name": "REBECCA",
        "credential": "D.N.P., F.N.P.-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2021-08-12",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9330314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004145500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marco Island, FL

Sources for this page

Verify at the official NPI Registry.