Active NPI
Michelle Marie Mosher, ARNP
- Family Nurse Practitioner
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9416381
- Practice address
- 9981 S Healthpark Dr
Fort Myers, FL 33908 - Phone
- (239) 343-6341
- Fax
- (239) 343-6342
- NPI assigned
- Jun 4, 2013
- Last updated
- Feb 3, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9416381 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | 337960 | NY |
Addresses
Primary practice location
9981 S Healthpark Dr
Fort Myers, FL 33908
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-6341
Other practice location 1
2157 Pine Ridge Rd
Ste 300
Naples, FL 34109-2033
Phone (239) 624-2014
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017794700 | Medicaid | FL | |
| CCLR6 | Other | FL | BCBS |
Other names 1
- Michelle Marie Tolar
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 337960 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keys Cardiology PA | Current | Accepting new patients | |
| Nchmd Inc | Current | Accepting new patients | |
| Integrity Geriatrics LLC | Past | Accepting new patients |
Locations
391 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 344-9236
391 Lee Blvd
Ste 300
Lehigh Acres, FL 33936
Phone (239) 303-5273
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
399 9th St N
Ste 300300A
Naples, FL 34102
Phone (239) 436-5634
680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- mmosher20892@nchhealthcaresystem.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Lehigh Acres, FL
- NPI 1386740033
-
- Hematology & Oncology Physician
- Naples, FL
- NPI 1831120195
-
- Geriatric Medicine (Internal Medicine) Physician
- Naples, FL
- NPI 1376234807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1982041695",
"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": "239-343-6341",
"fax_number": "239-343-6342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9981 S HEALTHPARK DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "33908",
"telephone_number": "239-343-6341",
"fax_number": "239-343-6342"
}
],
"practiceLocations": [
{
"address_1": "2157 Pine Ridge Rd",
"address_2": "Ste 300",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341092033",
"country_code": "US",
"telephone_number": "239-624-2014",
"fax_number": "239-643-9090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSHER",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-04",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9416381",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "337960",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017794700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "CCLR6",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "TOLAR",
"middle_name": "MARIE",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.