Individual provider Active NPI

Victor Stewart, ARNP

  • Family Nurse Practitioner
  • Immokalee, FL
National Provider Identifier
1942274147
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9208301 Issued in FL
Practice address
1454 Madison Ave W
Immokalee, FL 34142-2200
Phone
(239) 658-3000
NPI assigned
Feb 14, 2006
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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 ARNP9208301 FL Primary

Addresses

Primary practice location

1454 Madison Ave W
Immokalee, FL 34142-2200

Mailing address

1454 Madison Ave W
Immokalee, FL 34142-2200
Phone (239) 658-3000

Other practice location 1

6615 Hillway Cir Ste 201
Naples, FL 34112-8755
Phone (239) 455-1882

Other practice location 2

12655 Collier Blvd
Naples, FL 34116-4005
Phone (239) 658-3000

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
I20060925000169 FL Practitioner - Nurse Practitioner 3971508086 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Collier Health Services, IncGroup PAC ID 4183521925, 29 clinicians

Practice addresses (Care Compare)

1454 Madison Ave W
Immokalee, FL 34142-2200
Phone (239) 658-3064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9208301FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Agape Trinity Wellness & Health Family Current Accepting new patients
Inpatient Medical Services, Inc CurrentSince Feb 17, 2018 Accepting new patients
Collier Health Services, Inc CurrentSince Nov 8, 2022 Accepting new patients
Collier Health Services Inc CurrentSince Nov 8, 2022 Accepting new patients
Leeland ER SVCS Partnership LLC Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services, Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients
Collier Health Services Inc Past Accepting new patients

Locations

2525 First St
Fort Myers, FL 33901
Phone (239) 332-3333

125 Boston Ave
Immokalee, FL 34142
Phone (239) 657-5800

1454 Madison Ave W
Immokalee, FL 34142
Phone (239) 658-3064

508 N 9th St
Unit 142
Immokalee, FL 34142
Phone (239) 657-6363

1154 Lee Blvd
Ste 3
Lehigh Acres, FL 33936
Phone (239) 230-2273

1265 Creekside Pkwy
Ste 206
Naples, FL 34108
Phone (239) 591-2125

12655 Collier Blvd
Naples, FL 34116
Phone (239) 571-9015

1845 Veterans Park Dr
Naples, FL 34109
Phone (239) 571-9015

2355 Stanford Ct
Ste 701
Naples, FL 34112

Interoperability endpoints

  • Direct secure messaging: victor.stewart.2@10865.direct.athenahealth.com

Organizations & group practices 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1942274147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 MADISON AVE W",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341422200",
            "telephone_number": "239-658-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 MADISON AVE W",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341422200",
            "telephone_number": "239-658-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6615 Hillway Cir Ste 201",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341128755",
            "country_code": "US",
            "telephone_number": "239-455-1882",
            "fax_number": "239-455-2412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12655 Collier Blvd",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341164005",
            "country_code": "US",
            "telephone_number": "239-658-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "VICTOR",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9208301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Immokalee, FL

Sources for this page

Verify at the official NPI Registry.