Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. JENNETTE MARIE HOLLISTER CNM
NPI 1164195699
Advanced Practice Midwife in Fort Myers, FL

Q: What is Jennette Hollister's NPI number?

The NPI number for Jennette Hollister is 1164195699. It was assigned to this individual provider in the NPPES registry on July 29, 2021.

Q: What is Jennette Hollister's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Active since July 29, 2021PECOS Enrolled

15901 BASS RD STE 100, FORT MYERS, FL 33908(239) 343-7130(239) 343-7185 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 1, 2026, Jul 29, 2021 (2 updates tracked since 2021).

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About Mrs. Jennette Marie Hollister Cnm NPPES

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

MRS. JENNETTE MARIE HOLLISTER CNM (NPI 1164195699) is an individual advanced practice midwife in Fort Myers, Florida, licensed in Florida (APRN11048482) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rockford.

NPPES Registry Identity

NPI1164195699

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameMRS. JENNETTE MARIE HOLLISTERCredential: CNM

Location Address15901 BASS RD STE 100Fort Myers, FL 33908-3838

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-7130 · Fax (239) 343-7185

Phone(239) 343-7130

Fax(239) 343-7185

Sole ProprietorNo

Enumeration DateJuly 29, 2021

Last NPPES UpdateOctober 1, 20262 updates tracked since enumeration

NPPES CertifiedOctober 1, 2026

✔ NPI 1164195699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in FL · APRN11048482

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Also ListedMidwifeTaxonomy 176B00000X

15901 BASS RD STE 100, Fort Myers, FL 33908

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Secondary Practice Location 1

Location 11200 W State StRockford, IL 61102-2112 · Phone (815) 490-1600 · Fax (815) 490-1881

Other Identifiers 1

Medicaid131910300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jennette Marie Hollister Cnm 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 Jennette Hollister reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lee Health System Inc

0.3 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

Crusaders Central Clinic Association

1,154 mi

Federally Qualified Health Center (FQHC)

1050 LOGAN AVE
Belvidere, IL 61008

Reassigned Medicare billing, Illinois enrollment
22 clinicians in this Medicare group

NPI 1780852244 (815) 547-0282

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33908 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 8

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

SHELBY HARDING CNM

Advanced Practice Midwife