HEATHER DIANE PETROVICH ARNP
NPI 1336121599
Nurse Practitioner - Family in Fort Myers, FL

Q: What is Heather Petrovich's NPI number?

The NPI number for Heather Petrovich is 1336121599. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Q: What is Heather Petrovich'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 Heather Petrovich was last updated on March 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 November 15, 2005PECOS Enrolled

2776 CLEVELAND AVE, #802, FORT MYERS, FL 33901(239) 336-6174(239) 335-6607 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Heather Diane Petrovich Arnp NPPES

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

HEATHER DIANE PETROVICH ARNP (NPI 1336121599) is an individual family provider in Fort Myers, Florida, licensed in Florida (ARNP3088822) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336121599

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHEATHER DIANE PETROVICHCredential: ARNP

Location Address2776 CLEVELAND AVE, #802Fort Myers, FL 33901-5864

Mailing Address2532 Keystone Lake DrCape Coral, FL 33909-2941

Phone(239) 336-6174

Fax(239) 335-6607

Sole ProprietorNo

Enumeration DateNovember 15, 2005

Last NPPES UpdateMarch 15, 2017

✔ NPI 1336121599 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 · ARNP3088822

2776 CLEVELAND AVE, Fort Myers, FL 33901

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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)

Heather Diane Petrovich Arnp 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 Heather Petrovich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lee Memorial Health System

0.1 mi

Emergency Medicine

2780 CLEVELAND AVE, SUITE 705
Fort Myers, FL 33901

Reassigned Medicare billing, Florida enrollment
1,345 clinicians in this Medicare group

NPI 1134222532 (239) 334-5244

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 33901 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.

FELICIA NICOLE REEVES CAA

Anesthesiologist Assistant