Individual provider Active NPI

Sonia G Rangeloff, ARNP

  • Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1942504535
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN2161632 Issued in FL
Practice address
12801 Westlinks Dr Ste 103
Fort Myers, FL 33913-8001
Phone
(239) 561-5050
Fax
(239) 343-4241
NPI assigned
Dec 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN2161632 FL Primary
Family Nurse Practitioner 363LF0000X APRN2161632 FL

Addresses

Primary practice location

12801 Westlinks Dr Ste 103
Fort Myers, FL 33913-8001

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 561-5050

Other practice location 1

540 The Rialto
Venice, FL 34285-2900
Phone (941) 486-6927

Other practice location 2

2351 Aaron St
Port Charlotte, FL 33952-5305
Phone (855) 979-5700

Other identifiers 1

IdentifierTypeStateIssuer
122287300MedicaidFL

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
I20130213000317 FL Practitioner - Nurse Practitioner 1658525969 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN2161632FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Lee Memorial Health System CurrentSince Jul 8, 2024 Accepting new patients
Lee Health System Inc Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients
Internal Medicine Associates of Lee County MD PA Nurse Practitioner Past Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

12801 Westlinks Dr
Ste 103
Fort Myers, FL 33913
Phone (239) 561-5050

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

5216 Clayton Ct
Fort Myers, FL 33907
Phone (239) 343-8260

1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

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": "1292976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1942504535",
    "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": "239-561-5050",
            "fax_number": "239-343-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 WESTLINKS DR STE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138001",
            "telephone_number": "239-561-5050",
            "fax_number": "239-343-4241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 The Rialto",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342852900",
            "country_code": "US",
            "telephone_number": "941-486-6927",
            "fax_number": "941-486-6931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2351 Aaron St",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339525305",
            "country_code": "US",
            "telephone_number": "855-979-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANGELOFF",
        "first_name": "SONIA",
        "middle_name": "G",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-22",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN2161632",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN2161632",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122287300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.