JERAD RARDIN
NPI 1083163042
Nurse Practitioner in Fort Myers, FL

Q: What is Jerad Rardin's NPI number?

The NPI number for Jerad Rardin is 1083163042. It was assigned to this individual provider in the NPPES registry on September 30, 2016.

Q: What is Jerad Rardin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jerad Rardin was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 30, 2016PECOS EnrolledAccepts Medicare Assignment

13685 DOCTORS WAY STE 350, FORT MYERS, FL 33912(239) 343-3800(239) 343-3993 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 28, 2022, Feb 1, 2022, Nov 8, 2021 and 5 more (8 updates tracked since 2016).

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About Jerad Rardin NPPES

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

JERAD RARDIN (NPI 1083163042) is an individual nurse practitioner in Fort Myers, Florida, licensed in Florida (11010462) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1083163042

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJERAD RARDIN

Location Address13685 DOCTORS WAY STE 350Fort Myers, FL 33912-4347

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-3800 · Fax (239) 343-3993

Phone(239) 343-3800

Fax(239) 343-3993

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 30, 2016

Last NPPES UpdateMarch 20, 20248 updates tracked since enumeration

NPPES CertifiedMarch 20, 2024

✔ NPI 1083163042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in FL · 11010462✔ Licensed in GA · RN148874

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

13685 DOCTORS WAY STE 350, Fort Myers, FL 33912

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Other Identifiers 3

Medicaid115517400FL

Medicaid003183133LGA

Medicaid212731AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, UnitedHealthcare, Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jerad Rardin is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052699758

PECOS Enrollment IDI20211110001866

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100012

Location2776 Cleveland AveFort Myers, FL 33901 · Lee County

Emergency services Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100220

Location13681 Doctors WayFort Myers, FL 33912 · Lee County

Emergency services

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100244

Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33912 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.

MR. WESLEY H FAUNCE III M.D.

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