Organization Active NPI

Rentas Advance Medical, LLC.

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1982564332
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
RENTAS ADVANCE MEDICAL, LLC.
Practice address
627 Cape Coral Pkwy W Ste 209V
Cape Coral, FL 33914-6748
Phone
(239) 565-7578
NPI assigned
Nov 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Ralph Cotten
Title
Credentialing Manager
Phone
(239) 565-7578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

627 Cape Coral Pkwy W Ste 209V
Cape Coral, FL 33914-6748

Mailing address

PO Box 100192
Cape Coral, FL 33910-0192
Phone (239) 565-7578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251213000225 FL Part B Supplier - Clinic/Group Practice 8123512472 Receives reassigned benefits from 1 practitioner
Practice locations: Cape Coral, FL

National Provider Directory

National Provider Directory
Tax ID family
Rentas Advance Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

627 Cape Coral Pkwy W
Ste 209V
Cape Coral, FL 33914
Phone (239) 565-7578

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1982564332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100192",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339100192",
            "telephone_number": "239-565-7578",
            "fax_number": "941-621-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 CAPE CORAL PKWY W STE 209V",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339146748",
            "telephone_number": "239-565-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENTAS ADVANCE MEDICAL, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "COTTEN",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "239-565-7578"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.