JEFFREY WINFIELD INNIS MD
NPI 1053321679
Medical Genetics - Clinical Molecular Genetics in Estero, FL

Q: What is Jeffrey Innis's NPI number?

The NPI number for Jeffrey Innis is 1053321679. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Q: What is Jeffrey Innis's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Molecular Genetics, with taxonomy code 207SG0203X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Innis was last updated on April 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 08, 2006PECOS Enrolled

23450 VIA COCONUT PT, ESTERO, FL 34135(239) 468-0210(239) 343-4236 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 4, 2022, Apr 18, 2019 (2 updates tracked since 2019).

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About Jeffrey Winfield Innis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY WINFIELD INNIS MD (NPI 1053321679) is an individual clinical molecular genetics provider in Estero, Florida, licensed in Florida (ME152778) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1053321679

Entity TypeIndividualMale

Primary Taxonomy207SG0203X

Provider Legal NameJEFFREY WINFIELD INNISCredential: MD

Location Address23450 VIA COCONUT PTEstero, FL 34135-1877

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 468-0210 · Fax (239) 343-4236

Phone(239) 468-0210

Fax(239) 343-4236

Sole ProprietorNo

Enumeration DateAugust 8, 2006

Last NPPES UpdateApril 4, 20222 updates tracked since enumeration

NPPES CertifiedApril 4, 2022

✔ NPI 1053321679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMedical Genetics · Clinical Molecular GeneticsAllopathic & Osteopathic Physicians

Taxonomy Code207SG0203X

License✔ Licensed in FL · ME152778

Definition

A clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders.

Also ListedMedical Genetics · Clinical Genetics (M.D.)Taxonomy 207SG0201X · License 4301058671 (MI)

Also ListedPediatricsTaxonomy 208000000X · License 4301058671 (MI)

23450 VIA COCONUT PT, Estero, FL 34135

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Secondary Practice Location 1

Location 11500 E Medical Center DrAnn Arbor, MI 48109-5000 · Phone (734) 936-4000

Other Identifiers 2

Medicaid113233700FL

Medicaid2774825MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Winfield Innis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jeffrey Innis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lee Memorial Health System

9.9 mi

Federally Qualified Health Center (FQHC)

9800 S HEALTHPARK DR STE 110
Fort Myers, FL 33908

Reassigned Medicare billing, Florida enrollment
1,345 clinicians in this Medicare group

NPI 1770165920 (239) 343-6050

Lee Health System Inc

10 mi

Internal Medicine

9981 S HEALTHPARK DR
Fort Myers, FL 33908

Reassigned Medicare billing, Florida enrollment
1,899 clinicians in this Medicare group

NPI 1942058557 (239) 424-1500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEREMY A DZEN DO

Internal Medicine