NORMAN KRUEDELBACH PHD
NPI 1306044466
Medical Genetics, Ph.D. Medical Genetics in Fort Myers, FL

Q: What is Norman Kruedelbach's NPI number?

The NPI number for Norman Kruedelbach is 1306044466. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Q: What is Norman Kruedelbach's specialty?

The primary specialty registered for this NPI is Medical Genetics, Ph.D. Medical Genetics with taxonomy code 170100000X.

Active since July 10, 2007PECOS Enrolled

2789 ORTIZ AVE, FORT MYERS, FL 33905(239) 791-1508(239) 275-3103 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Norman Kruedelbach Phd NPPES

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

NORMAN KRUEDELBACH PHD (NPI 1306044466) is an individual medical genetics, ph.d. medical genetics provider in Fort Myers, Florida and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306044466

Entity TypeIndividualMale

Primary Taxonomy170100000X

Provider Legal NameNORMAN KRUEDELBACHCredential: PHD

Location Address2789 ORTIZ AVEFort Myers, FL 33905-7806

Mailing Address2789 Ortiz AveFort Myers, FL 33905-7806 · (239) 791-1508 · Fax (239) 275-3103

Phone(239) 791-1508

Fax(239) 275-3103

Sole ProprietorYes

Enumeration DateJuly 10, 2007

✔ NPI 1306044466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedical Genetics, Ph.D. Medical GeneticsOther Service Providers

Taxonomy Code170100000X

Definition

A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.

2789 ORTIZ AVE, Fort Myers, FL 33905

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Norman Kruedelbach Phd 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 Reassignment

Medicare enrollment records show Norman Kruedelbach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Us Health Dept Of Health & Human Services

1,876 mi

Public Health, Federal

14 GREAT PLAINS ROAD
Arapahoe, WY 82501

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: U S Health Dept Of Health & Human Services
306 clinicians in this Medicare group

NPI 1104976372 (307) 856-9281

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

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. CARLYSLE JOHN HARTSELL B.S.

Case Manager/Care Coordinator