Individual provider Active NPI

Jennifer Amy Anderson, APRN

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1922806033
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11039705 Issued in FL
Practice address
11181 Health Park Blvd Ste 1115
Naples, FL 34110-5742
Phone
(239) 597-4440
Fax
(239) 597-4441
NPI assigned
Mar 4, 2025
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11039705 FL
Family Nurse Practitioner 363LF0000X APRN11039705 FL Primary
Registered Nurse 163W00000X RN9323208 FL

Addresses

Primary practice location

11181 Health Park Blvd Ste 1115
Naples, FL 34110-5742

Mailing address

20072 Heatherstone Way Unit 1
Estero, FL 33928-3099
Phone (716) 740-6957

Other practice location 1

20072 Heatherstone Way Unit 1
Estero, FL 33928-3099
Phone (716) 740-6957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20072 Heatherstone Way
Unit 1
Estero, FL 33928-3099

6321 Daniels Pkwy
Suite 200
Fort Myers, FL 33912-4708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9323208FLMDRegistered Nurse
APRN11039705FLMDFamily Nurse Practitioner

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1922806033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20072 HEATHERSTONE WAY UNIT 1",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283099",
            "telephone_number": "716-740-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11181 HEALTH PARK BLVD STE 1115",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341105742",
            "telephone_number": "239-597-4440",
            "fax_number": "239-597-4441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20072 Heatherstone Way Unit 1",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "339283099",
            "country_code": "US",
            "telephone_number": "716-740-6957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JENNIFER",
        "middle_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11039705",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11039705",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9323208",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.