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: October 25, 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
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jose Mantilla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
1530 LEE BLVD STE 1300
Lehigh Acres, FL 33936
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
General Practice
5285 SUMMERLIN RD STE 101
Fort Myers, FL 33919
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group

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 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.

Internal Medicine (Cardiovascular Disease)
1530 LEE BLVD STE 1300
LEHIGH ACRES, FL 33936
Internal Medicine (Cardiovascular Disease)
1530 LEE BLVD STE 1300
LEHIGH ACRES, FL 33936

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.

Which organizations bill Medicare for Jose Mantilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Mantilla reassigns Medicare benefits to 2 organizations: Turalic Consulting LLC (Lehigh Acres, FL) and Revitalize Health Center LLC (Fort Myers, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Mantilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Mantilla accept?

Health plans from Oscar Health Maintenance Organization of Florida list Jose Mantilla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 16 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.