ISMAEL MACALLA-RODRIGUEZ APRN
NPI 1063186930
Nurse Practitioner - Gerontology in Fort Myers, FL

Q: What is Ismael Macalla-rodriguez's NPI number?

The NPI number for Ismael Macalla-rodriguez is 1063186930. It was assigned to this individual provider in the NPPES registry on August 4, 2021.

Q: What is Ismael Macalla-rodriguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since August 04, 2021PECOS Enrolled

5216 CLAYTON CT, FORT MYERS, FL 33907(239) 343-8260(239) 343-4258 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2025, Sep 1, 2023, Aug 4, 2021 (3 updates tracked since 2021).

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About Ismael Macalla-rodriguez Aprn NPPES

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

ISMAEL MACALLA-RODRIGUEZ APRN (NPI 1063186930) is an individual gerontology provider in Fort Myers, Florida, licensed in Florida (APRN11014693) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Cape Coral.

NPPES Registry Identity

NPI1063186930

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameISMAEL MACALLA-RODRIGUEZCredential: APRN

Location Address5216 CLAYTON CTFort Myers, FL 33907-2116

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-8260 · Fax (239) 343-4258

Phone(239) 343-8260

Fax(239) 343-4258

Sole ProprietorYes

Enumeration DateAugust 4, 2021

Last NPPES UpdateMay 28, 20253 updates tracked since enumeration

NPPES CertifiedMay 28, 2025

✔ NPI 1063186930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in FL · APRN11014693

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN11014693 (FL)

5216 CLAYTON CT, Fort Myers, FL 33907

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Secondary Practice Location 1

Location 1610 NW 36th PlCape Coral, FL 33993-5567 · Phone (754) 265-2445

Other Identifiers 1

Medicaid118721400FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ismael Macalla-rodriguez Aprn 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

14 services14 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33907 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SAMANTHA HEAD

Nurse Practitioner (Family)