NPIMap

Individual provider Active NPI

Richard Jason Price, PA-C

  • Physician Assistant
  • Fort Myers, FL
National Provider Identifier
1972360626
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9118498 Issued in FL
Practice address
5216 Clayton CT
Fort Myers, FL 33907-2116
Phone
(239) 343-8260
NPI assigned
Feb 29, 2024
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9118498 FL Primary
Medical Physician Assistant 363AM0700X PA9118498 FL

Addresses

Primary practice location

5216 Clayton CT
Fort Myers, FL 33907-2116

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-8260

Other practice location 1

1201 Piper Blvd Ste 24
Naples, FL 34110-1385
Phone (239) 260-5307

Other identifiers 1

IdentifierTypeStateIssuer
121524100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240423004578 FL Practitioner - Physician Assistant 9335588391 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thse - Marco Urgent Care LLCGroup PAC ID 8921131475, 19 clinicians

Practice addresses (Care Compare)

40 S Heathwood Dr
Marco Island, FL 34145-5026
Phone (239) 394-8234

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9118498FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Memorial Health System CurrentSince May 6, 2024 Accepting new patients
Lee Memorial Health System CurrentSince May 6, 2024 Accepting new patients
Access MD P L PastSince Nov 1, 2007 Accepting new patients
Mycare Clinic PastSince Mar 1, 2013 Accepting new patients

Locations

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

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7973/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8065/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

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": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1972360626",
    "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": "239-343-8260",
            "fax_number": "239-343-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5216 CLAYTON CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072116",
            "telephone_number": "239-343-8260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Piper Blvd Ste 24",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341101385",
            "country_code": "US",
            "telephone_number": "239-260-5307",
            "fax_number": "239-260-5308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "RICHARD",
        "middle_name": "JASON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-29",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118498",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9118498",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121524100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.