LARAINE M MOUTHAAN ARNP
NPI 1558665109
Nurse Practitioner in Fort Myers, FL

Q: What is Laraine Mouthaan's NPI number?

The NPI number for Laraine Mouthaan is 1558665109. It was assigned to this individual provider in the NPPES registry on December 22, 2010.

Q: What is Laraine Mouthaan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Laraine Mouthaan was last updated on April 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 December 22, 2010PECOS Enrolled

3840 BROADWAY, FORT MYERS, FL 33901(239) 275-6400(239) 275-0178 Get Directions Write a Review

NPPES record last updated: April 18, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Laraine M Mouthaan Arnp NPPES

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

LARAINE M MOUTHAAN ARNP (NPI 1558665109) is an individual nurse practitioner in Fort Myers, Florida, licensed in Florida (ARNP2699572) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558665109

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLARAINE M MOUTHAANCredential: ARNP

Location Address3840 BROADWAYFort Myers, FL 33901-8108

Mailing Address4371 Veronica S Shoemaker BlvdFort Myers, FL 33916-2216 · (239) 274-8200 · Fax (239) 278-3350

Phone(239) 275-6400

Fax(239) 275-0178

Sole ProprietorNo

Enumeration DateDecember 22, 2010

Last NPPES UpdateApril 18, 2011

✔ NPI 1558665109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · ARNP2699572

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3840 BROADWAY, Fort Myers, FL 33901

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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 (PECOS)

Laraine M Mouthaan 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.

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 4

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

RYAN K OLSON MD

Pathology (Anatomic Pathology & Clinical Pathology)

3840 BROADWAY
FORT MYERS, FL 33901

Lee County (239) 275-6400

DR. BRIAN K. KIM M.D.

Internal Medicine (Hematology & Oncology)

3840 BROADWAY
FORT MYERS, FL 33901

Lee County (239) 275-6400

DR. VAN G RANA 09221980

Internal Medicine (Medical Oncology)

3840 BROADWAY
FORT MYERS, FL 33901

Lee County (239) 275-6400

FLORIDA CANCER SPECIALISTS P L

Internal Medicine (Hematology & Oncology)

3840 BROADWAY
FORT MYERS, FL 33901

Lee County (239) 275-6400

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 Laraine Mouthaan's NPI number?

The NPI number for Laraine Mouthaan is 1558665109. It was assigned to this individual provider in the NPPES registry on December 22, 2010.

Where is Laraine Mouthaan located?

Laraine Mouthaan practices at 3840 Broadway, Fort Myers, FL 33901. The listed phone number is (239) 275-6400.

What is Laraine Mouthaan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Laraine Mouthaan enrolled in Medicare?

Yes. Laraine Mouthaan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laraine Mouthaan was last updated on April 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.