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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

VICTORIA PACKARD
NPI 1114864048
Physician Assistant in Fort Myers, FL

Active since April 29, 2026PECOS Enrolled
2776 CLEVELAND AVE, FORT MYERS, FL 33901(239) 343-1614(239) 343-3695 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2026, Jul 24, 2026, May 18, 2026 and 1 more (4 updates tracked since 2026).

About Victoria Packard NPPES

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

VICTORIA PACKARD (NPI 1114864048) is an individual physician assistant in Fort Myers, Florida, licensed in Florida (PA9121544) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1114864048
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameVICTORIA PACKARD
Location Address2776 CLEVELAND AVEFort Myers, FL 33901-5864
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-1614 · Fax (239) 343-3695
Phone(239) 343-1614
Fax(239) 343-3695
Sole ProprietorNo
Enumeration DateApril 29, 2026
Last NPPES UpdateJuly 31, 20264 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1114864048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9121544
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2776 CLEVELAND AVE, Fort Myers, FL 33901
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Secondary Practice Location 1

Location 113685 Doctors Way Ste 100Fort Myers, FL 33912-4337 · Phone (239) 343-1057

Other Identifiers 1

Medicaid131806300FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Packard 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33901 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
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
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.

FELICIA NICOLE REEVES CAA
Anesthesiologist Assistant
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (954) 759-1985
DONALD BOUNDS PA
Physician Assistant
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (239) 343-2606
DR. KARI BETH DUCKWORTH PHARM.D.
Pharmacist
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (239) 343-3374
JOSEPH GULDE MD
Emergency Medicine
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (239) 334-5606
CARRIE DUNN MD
Emergency Medicine
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (239) 343-2606
MRS. EMILY JOY NAFTALI PA-C
Physician Assistant (Medical)
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (239) 343-1614
JULIE MARSHA TEUBER MD
Emergency Medicine
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (239) 343-1614
JEFFREY ST. FIRMIN PA-C
Physician Assistant
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (239) 343-2606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victoria Packard's NPI number?

The NPI number for Victoria Packard is 1114864048. It was assigned to this individual provider in the NPPES registry on April 29, 2026.

Where is Victoria Packard located?

Victoria Packard practices at 2776 Cleveland Ave, Fort Myers, FL 33901. The listed phone number is (239) 343-1614.

What is Victoria Packard's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Victoria Packard enrolled in Medicare?

Yes. Victoria Packard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Victoria Packard was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.