CARLY LYNN HALLER APRN
NPI 1285330167
Nurse Practitioner - Adult Health in Fort Myers, FL

Q: What is Carly Haller's NPI number?

The NPI number for Carly Haller is 1285330167. It was assigned to this individual provider in the NPPES registry on February 2, 2023. The provider is also known as Carly Lynn Love.

Q: What is Carly Haller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Carly Haller was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 02, 2023PECOS EnrolledAccepts Medicare Assignment

13685 DOCTORS WAY STE 350, FORT MYERS, FL 33912(239) 343-3800(239) 343-3993 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2023, Feb 8, 2023, Feb 2, 2023 (3 updates tracked since 2023).

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About Carly Lynn Haller Aprn NPPES

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

CARLY LYNN HALLER APRN (NPI 1285330167) is an individual adult health provider in Fort Myers, Florida, licensed in Florida (APRN11024184) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1285330167

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameCARLY LYNN HALLERCredential: APRN

Location Address13685 DOCTORS WAY STE 350Fort Myers, FL 33912-4347

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-3800 · Fax (239) 343-3993

Phone(239) 343-3800

Fax(239) 343-3993

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateFebruary 2, 2023

Last NPPES UpdateMarch 20, 20243 updates tracked since enumeration

NPPES CertifiedMarch 20, 2024

✔ NPI 1285330167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · APRN11024184

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 11024184 (FL)

13685 DOCTORS WAY STE 350, Fort Myers, FL 33912

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Other Names 1

Former Name (1)Carly Lynn Love

Secondary Practice Location 1

Location 12780 Cleveland Ave Ste 819Fort Myers, FL 33901-5817 · Phone (239) 343-3800 · Fax (239) 343-3993

Other Identifiers 1

Medicaid117546100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Wellpoint.Insurance ›

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

Carly Lynn Haller 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 ID3870968837

PECOS Enrollment IDI20230405002471

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100012

Location2776 Cleveland AveFort Myers, FL 33901 · Lee County

Emergency services Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100220

Location13681 Doctors WayFort Myers, FL 33912 · Lee County

Emergency services

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100244

Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33912 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 20

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

MR. WESLEY H FAUNCE III M.D.

Neurological Surgery