Individual provider Active NPI

Tara Jill Printz, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1952879736
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000058 Issued in FL
Practice address
4350 Fowler St Ste 2
Fort Myers, FL 33901-2600
Phone
(239) 837-8187
Fax
(855) 576-5116
NPI assigned
Nov 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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 APRN11000058 FL Primary

Addresses

Primary practice location

4350 Fowler St Ste 2
Fort Myers, FL 33901-2600

Mailing address

PO Box 100 Dept#394
Memphis, TN 38148-0001
Phone (941) 300-4440

Other practice location 1

14243 Tamiami Trl
North Port, FL 34287-2215
Phone (941) 888-2144

Other names 1

  • Ms. Tara Jill Heroux Former name

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
I20190221000755 FL Practitioner - Nurse Practitioner 0042558827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Can Community Health IncGroup PAC ID 6305883133, 42 clinicians

Practice addresses (Care Compare)

1231 N Tuttle Ave
Sarasota, FL 34237-3116
Phone (941) 366-0134

4350 Fowler St
Suite 2
Fort Myers, FL 33901-2600
Phone (239) 837-8187

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90.03
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11000058FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Can Community Health Inc. CurrentSince Dec 4, 2023 Accepting new patients
Can Community Health, Inc. Family CurrentSince Dec 4, 2023 Accepting new patients
Island Coast Pediatrics PastSince Sep 1, 2023 Accepting new patients

Locations

1224 Del Prado Blvd S
Ste A
Cape Coral, FL 33990
Phone (239) 745-5050

1125 N Nova Rd
Daytona Beach, FL 32117
Phone (386) 274-7651

4350 Fowler St
Ste 2
Fort Myers, FL 33901
Phone (239) 837-8187

14243 Tamiami Trl
North Port, FL 34287
Phone (941) 429-3180

4440 Fruitville Rd
Sarasota, FL 34232
Phone (941) 366-0134

1231 N Tuttle Ave
Sarasota, FL 34237
Phone (941) 366-0134

Interoperability endpoints

  • Direct secure messaging: tara.printz@can.eclinicaldirectplus.com
  • Direct secure messaging: theroux@icpeds.opdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1952879736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100 DEPT#394",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "941-300-4440",
            "fax_number": "941-404-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 FOWLER ST STE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339012600",
            "telephone_number": "239-837-8187",
            "fax_number": "855-576-5116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14243 Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "North Port",
            "state": "FL",
            "postal_code": "342872215",
            "country_code": "US",
            "telephone_number": "941-888-2144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRINTZ",
        "first_name": "TARA",
        "middle_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "HEROUX",
            "middle_name": "JILL",
            "prefix": "MS.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.