Manuel John Souza, MS, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN9168451 Issued in FL

Practice address

8350 Riverwalk Park Blvd Ste 1
Fort Myers, FL 33919-8759

Phone

(239) 482-2663

Fax

(239) 482-7585

NPI assigned

May 26, 2006

Last updated

May 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Merit-based Incentive Payment System (MIPS)

Final score

78.92 of 100Reported as group

Quality

65.67

Improvement activities

40

Cost

75.51

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: manuelsouza@fhmdpa.allscriptsdirect.net

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.

• Orthopedic Center of Florida, Inc

  • Orthopaedic Surgery Physician
  • Fort Myers, FL
  • NPI 1912932047
  Medicare reassignment NPD
• Orthopedic Center of Florida, Inc

  • Durable Medical Equipment & Medical Supplies
  • Estero, FL
  • NPI 1316700768
  NPD
• Jennifer Sassi PA

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
  • NPI 1619305067
  NPD (past)
• Medical Anesthesia and Pain Management Consultants, P.a.

  • Anesthesiology Physician
  • Fort Myers, FL
  • NPI 1619966694
  NPD (past)
• Pain Management Consultants of Southwest Florida, PL

  • Pain Clinic/Center
  • Fort Myers, FL
  • NPI 1619216314
  NPD (past)
• Pain Management Consultants of Southwest Florida, PL

  • Pain Medicine (Anesthesiology) Physician
  • Fort Myers, FL
  • NPI 1649284928
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1962458257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12670 CREEKSIDE LN STE 202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193370",
            "telephone_number": "239-482-2663",
            "fax_number": "239-482-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 RIVERWALK PARK BLVD STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339198759",
            "telephone_number": "239-482-2663",
            "fax_number": "239-482-7585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10201 Arcos Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "339289461",
            "country_code": "US",
            "telephone_number": "239-482-2663",
            "fax_number": "239-482-7585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3530 Kraft Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341055020",
            "country_code": "US",
            "telephone_number": "239-482-2663",
            "fax_number": "239-482-7585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12670 Creekside Ln Ste 202",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339193370",
            "country_code": "US",
            "telephone_number": "239-482-2663",
            "fax_number": "239-482-7585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "MANUEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MS, ANP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "193850",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9168451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "Y9368",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303290600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "500018529",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwest Florida Mobile Therapy, Inc.
• Southwest Florida Oral & Facial Surgery
• Southwest Florida Prosthetic Clinic
• Southwest General Healthcare Center Corp
• Southwest Independent Practice Assoc
• Sovereign Developmental Center
• Sovereign Health of Florida, Inc.
• Krystal Sovern, PA
• Kristy Marie Sowerby, PHARMD.
• Gregory C Spain, DPM

• Adult Health Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.

Verify at the official NPI Registry.