PETRA DEBOLT A.R.N.P.
NPI 1144570862
Nurse Practitioner - Family in Fort Myers, FL

Q: What is Petra Debolt's NPI number?

The NPI number for Petra Debolt is 1144570862. It was assigned to this individual provider in the NPPES registry on September 11, 2012. The provider is also known as Petra Dugan.

Q: What is Petra Debolt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Petra Debolt was last updated on February 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 11, 2012PECOS Enrolled

3511 MARTIN LUTHER KING BLVD, FORT MYERS, FL 33916(239) 343-4910(239) 343-4911 Get Directions Write a Review

NPPES record last updated: February 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Petra Debolt A.r.n.p. NPPES

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

PETRA DEBOLT A.R.N.P. (NPI 1144570862) is an individual family provider in Fort Myers, Florida, licensed in Florida (ARNP2944422) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144570862

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePETRA DEBOLTCredential: A.R.N.P.

Location Address3511 MARTIN LUTHER KING BLVDFort Myers, FL 33916-4651

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 424-1449 · Fax (239) 424-1421

Phone(239) 343-4910

Fax(239) 343-4911

Sole ProprietorNo

Enumeration DateSeptember 11, 2012

Last NPPES UpdateFebruary 13, 2015

✔ NPI 1144570862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in FL · ARNP2944422

3511 MARTIN LUTHER KING BLVD, Fort Myers, FL 33916

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Other Names 1

Former Name (1)Petra Dugan

Other Identifiers 2

Medicaid008624400FL

Medicare UPINGW355YFL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Petra Debolt A.r.n.p. 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 33916 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.

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 Petra Debolt's NPI number?

The NPI number for Petra Debolt is 1144570862. It was assigned to this individual provider in the NPPES registry on September 11, 2012. The provider is also known as Petra Dugan.

Where is Petra Debolt located?

Petra Debolt practices at 3511 Martin Luther King Blvd, Fort Myers, FL 33916. The listed phone number is (239) 343-4910.

What is Petra Debolt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Petra Debolt enrolled in Medicare?

Yes. Petra Debolt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Petra Debolt was last updated on February 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.