MR. KENNETH MIDONECK APRN
NPI 1205433828
Nurse Practitioner - Family in Naples, FL

Q: What is Kenneth Midoneck's NPI number?

The NPI number for Kenneth Midoneck is 1205433828. It was assigned to this individual provider in the NPPES registry on October 6, 2020.

Q: What is Kenneth Midoneck'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 Kenneth Midoneck was last updated on December 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 06, 2020PECOS EnrolledAccepts Medicare Assignment

12655 COLLIER BLVD, NAPLES, FL 34116(239) 658-3000 Get Directions Write a Review

NPPES record last updated: December 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 22, 2024, Jan 26, 2021, Oct 6, 2020 (3 updates tracked since 2020).

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About Mr. Kenneth Midoneck Aprn NPPES

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

MR. KENNETH MIDONECK APRN (NPI 1205433828) is an individual family provider in Naples, Florida, licensed in Florida (APRN11007755) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205433828

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. KENNETH MIDONECKCredential: APRN

Location Address12655 COLLIER BLVDNaples, FL 34116-4005

Mailing Address1454 Madison Ave WImmokalee, FL 34142-2200

Phone(239) 658-3000

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 6, 2020

Last NPPES UpdateDecember 22, 20243 updates tracked since enumeration

NPPES CertifiedDecember 22, 2024

✔ NPI 1205433828 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 · APRN11007755

12655 COLLIER BLVD, Naples, FL 34116

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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 and accepts Medicare assignment

Mr. Kenneth Midoneck Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860807872

PECOS Enrollment IDI20210224000811

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 34116 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.

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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.

JULIA MARY DEAN CNM

Advanced Practice Midwife