Individual provider Active NPI

Kandace Renee Scarsella, APRN FNP-BC

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1972292175
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11025571 Issued in FL
Practice address
2270 Colonial Blvd
Fort Myers, FL 33907-1412
Phone
(239) 690-5908
NPI assigned
May 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 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 11025571 FL Primary

Addresses

Primary practice location

2270 Colonial Blvd
Fort Myers, FL 33907-1412

Mailing address

2270 Colonial Blvd
Fort Myers, FL 33907-1412
Phone (941) 276-4010

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
I20240521002238 FL Practitioner - Nurse Practitioner 9830531938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Herman Gleicher MD PAGroup PAC ID 7315034568, 4 clinicians

Practice addresses (Care Compare)

21298 Olean Blvd
Port Charlotte, FL 33952-6705
Phone (941) 629-1181

2370 Harbor Blvd
Port Charlotte, FL 33952-5024
Phone (941) 624-5966

2400 Harbor Blvd
Port Charlotte, FL 33952-5038

2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4122

Hospital & facility affiliations

  • Patients First Home Care LLC Home health agency, Sarasota, FL, CCN 687176
  • Haven Home Health Care Home health agency, Venice, FL, CCN 687116
  • Trilogy Home Healthcare Home health agency, Sarasota, FL, CCN 109371

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11025571FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Herman Gleicher MD PA CurrentSince Aug 25, 2024 Accepting new patients

Locations

2400 Harbor Blvd
Ste 4
Pt Charlotte, FL 33952
Phone (941) 273-3611

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

1435 Collingswood Blvd
Unit B
Pt Charlotte, FL 33948
Phone (941) 280-1020

Interoperability endpoints

  • Direct secure messaging: kandace.scarsella@1018694030655492.direct.elationemr.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1972292175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "941-276-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-690-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARSELLA",
        "first_name": "KANDACE",
        "middle_name": "RENEE",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11025571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.