Active NPI
Annmarie Richardson, ARNP
- Family Nurse Practitioner
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9189265
- Practice address
- 19531 Cochran Blvd
Port Charlotte, FL 33948-2081 - Phone
- (941) 255-3535
- Fax
- (941) 766-7999
- NPI assigned
- Sep 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9189265 | FL | Primary |
Addresses
Primary practice location
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y08KM | Other | FL | FL BC |
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
- Nurse Practitioner
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Physiotherapy Associates Inc
Practice addresses (Care Compare)
1940 Tamiami TRL
Suite 104
Port Charlotte, FL 33948-2105
Phone (941) 883-0083
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535
Hospital & facility affiliations
- Millennium Home Care LLC
- HCA Florida Fawcett Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9189265 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
3434 Hancock Bridge Pkwy
North Ft Myers, FL 33903
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
3611 Tamiami Trl
Ste B
Pt Charlotte, FL 33952
Phone (941) 235-0542
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
2343 Aaron St
Pt Charlotte, FL 33952
Phone (855) 979-5700
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- annmarie.richardson.1@4290.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1417901406
-
- Home Health Agency
- Port Charlotte, FL
- NPI 1700058583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1942534102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19531 COCHRAN BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339482081",
"telephone_number": "941-255-3535",
"fax_number": "941-766-7999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "ANNMARIE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-21",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9189265",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL BC",
"identifier": "Y08KM",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.