Individual provider Active NPI

Rudolph Mickey Jones, PT, DPT, CBC, FNP-C

  • Family Nurse Practitioner
  • Lehigh Acres, FL
National Provider Identifier
1982873493
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11046449 Issued in FL
Practice address
2724 5TH St W Ste BC
Lehigh Acres, FL 33971-1581
Phone
(239) 694-9102
Fax
(239) 694-9101
NPI assigned
Feb 28, 2008
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11046449 FL Primary
Registered Nurse 163W00000X RN9648634 FL
Physical Therapist 225100000X PT00009763 FL

Addresses

Primary practice location

2724 5TH St W Ste BC
Lehigh Acres, FL 33971-1581

Mailing address

PO Box 1199
Lehigh Acres, FL 33970-1199
Phone (239) 694-9102

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
I20260501000577 FL Practitioner - Nurse Practitioner 8820096449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 1199
Lehigh Acres, FL 33970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9648634FLMDRegistered Nurse
PT00009763FLMDPhysical Therapist
APRN11046449FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Healthcare Center, Inc. Current Accepting new patients
Elite HH SWFL, LLC. CurrentSince Aug 1, 2020 Accepting new patients
Gulf Coast Healthcare Systems, Inc PastSince Aug 1, 2011 Accepting new patients
Optimum Rehabilitation Specialists Specialist PastSince Oct 6, 2008 Accepting new patients
Gulf Coast Healthcare Systems, Inc. Past Accepting new patients

Locations

2724 5th St W
Ste Bc
Lehigh Acres, FL 33971
Phone (239) 303-9298

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.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1982873493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1199",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339701199",
            "telephone_number": "239-694-9102",
            "fax_number": "239-694-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 5TH ST W STE BC",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711581",
            "telephone_number": "239-694-9102",
            "fax_number": "239-694-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "RUDOLPH",
        "middle_name": "MICKEY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CBC, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-28",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11046449",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9648634",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT00009763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.