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JOSE ALBERTO MANTILLA APRN, FNP-C
NPI 1184511081
Nurse Practitioner - Family in Lehigh Acres, FL

Active since June 23, 2025PECOS Enrolled
1530 LEE BLVD STE 1300, LEHIGH ACRES, FL 33936(239) 674-9377 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jose Alberto Mantilla Aprn, Fnp-c NPPES

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

JOSE ALBERTO MANTILLA APRN, FNP-C (NPI 1184511081) is an individual family provider in Lehigh Acres, Florida, licensed in Florida (11040301) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1184511081
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOSE ALBERTO MANTILLACredential: APRN, FNP-C
Location Address1530 LEE BLVD STE 1300Lehigh Acres, FL 33936-4887
Mailing Address17590 Kentara WayFort Myers, FL 33913-7422
Phone(239) 674-9377
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 23, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1184511081 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 · 11040301
1530 LEE BLVD STE 1300, Lehigh Acres, FL 33936
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Alberto Mantilla Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971088121
PECOS Enrollment IDI20260326001382
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 33936 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 2

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

TURALIC CONSULTING LLC
Internal Medicine (Cardiovascular Disease)
1530 LEE BLVD STE 1300
LEHIGH ACRES, FL 33936
Lee County (630) 273-3210
HARIS TURALIC M.D.
Internal Medicine (Cardiovascular Disease)
1530 LEE BLVD STE 1300
LEHIGH ACRES, FL 33936
Lee County (239) 674-9377

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 Jose Mantilla's NPI number?

The NPI number for Jose Mantilla is 1184511081. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Where is Jose Mantilla located?

Jose Mantilla practices at 1530 Lee Blvd Ste 1300, Lehigh Acres, FL 33936. The listed phone number is (239) 674-9377.

What is Jose Mantilla's specialty?

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

Is Jose Mantilla enrolled in Medicare?

Yes. Jose Mantilla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jose Mantilla was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.