Mrs Nicole Shuff Kennedy, CNP | |
23450 Via Coconut Pt, Estero, FL 34135-1877 | |
(239) 468-0150 | |
(239) 343-4056 |
Full Name | Mrs Nicole Shuff Kennedy |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 21 Years |
Location | 23450 Via Coconut Pt, Estero, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649232372 | NPI | - | NPPES |
000000326662 | Other | OH | ANTHEM PIN |
2468146 | Medicaid | OH | |
102248000 | Medicaid | FL | |
P00169140 | Other | OH | RR MCR PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN280201 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN9487918 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cape Coral Hospital | Cape coral, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lee Memorial Health System | 8729996608 | 1073 |
Entity Name | Lee Memorial Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
Entity Name | Vein Specialists At Royal Palm Square Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124205349 PECOS PAC ID: 7214001494 Enrollment ID: O20080806000295 |
Mailing Address | Practice Location Address |
---|---|
Mrs Nicole Shuff Kennedy, CNP Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 424-1500 | Mrs Nicole Shuff Kennedy, CNP 23450 Via Coconut Pt, Estero, FL 34135-1877 Ph: (239) 468-0150 |
Kathy Yessenia Claros, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11241 Miromar Square Blvd, Estero, FL 33928 Phone: 866-389-2727 | |
Mrs. Juanita Marie Martinez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3501 Health Center Blvd Ste 2310, Estero, FL 34135 Phone: 239-495-5020 Fax: 239-495-5015 | |
Michelle D Justice, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3501 Health Center Blvd Ste 1050, Estero, FL 34135 Phone: 239-468-0260 Fax: 239-343-4254 | |
Cristina Sandu, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19327 Elston Way, Estero, FL 33928 Phone: 305-609-9572 | |
Bridget B Stover, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9911 Corkscrew Rd Ste 200, Estero, FL 33928 Phone: 239-237-5500 | |
Jacob Aaron Cashdollar, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14048 Fenwood Ct, Estero, FL 33928 Phone: 631-816-3626 | |
Janis Jones, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19620 Villa Rosa Loop, Estero, FL 33967 Phone: 239-319-7811 Fax: 239-673-0588 |