NICOLE OUTTEN MD
NPI 1568619476
Student in an Organized Health Care Education/Training Program in Fort Myers, FL

Q: What is Nicole Outten's NPI number?

The NPI number for Nicole Outten is 1568619476. It was assigned to this individual provider in the NPPES registry on August 21, 2008.

Q: What is Nicole Outten's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Outten was last updated on June 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 21, 2008PECOS Enrolled

2776 CLEVELAND AVE, FORT MYERS, FL 33901(239) 343-2606(239) 343-3695 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 16, 2025, Dec 29, 2020, Dec 2, 2019 and 2 more (5 updates tracked since 2019).

On this page

About Nicole Outten Md NPPES

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

NICOLE OUTTEN MD (NPI 1568619476) is an individual student in an organized health care education/training program in Fort Myers, Florida, licensed in Florida (43349) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568619476

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNICOLE OUTTENCredential: MD

Location Address2776 CLEVELAND AVEFort Myers, FL 33901

Mailing Address2776 Cleveland AveFort Myers, FL 33901-5864 · (239) 343-2606

Phone(239) 343-2606

Fax(239) 343-3695

Sole ProprietorNo

Enumeration DateAugust 21, 2008

Last NPPES UpdateJune 16, 20255 updates tracked since enumeration

NPPES CertifiedJune 11, 2025

✔ NPI 1568619476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in FL · 43349

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9104426 (FL)

2776 CLEVELAND AVE, Fort Myers, FL 33901

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Secondary Practice Locations 2

Location 13592 Broadway Ste 100Fort Myers, FL 33901-8056 · Phone (239) 345-8001

Location 22776 Cleveland AveFort Myers, FL 33901 · Phone (239) 343-2606 · Fax (239) 343-3695

Other Identifiers 1

Medicaid001888400FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Outten Md 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

1 supplier11 claims210 services$5.35 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DIANNE DEL PIZZO ARNP

Nurse Practitioner

2776 CLEVELAND AVE
FT MYERS, FL 33901

Lee County (239) 334-5283

COLLEEN ELIZABETH SCUDDER ARNP

Nurse Practitioner

2776 CLEVELAND AVE
FT MYERS, FL 33901

Lee County (239) 334-5283

COGENT HEALTHCARE OF FORT MYERS, LLC

Internal Medicine

2776 CLEVELAND AVE, CARE MANAGEMENT DEPARTMENT, 8TH FLOOR
FT MYERS, FL 33901

Lee County (239) 344-5837

DR. ADAM BRENNER MD

Emergency Medicine

2776 CLEVELAND AVE
FORT MYERS, FL 33901

Lee County (239) 334-5606

JOSEPH GULDE MD

Emergency Medicine

2776 CLEVELAND AVE
FORT MYERS, FL 33901

Lee County (239) 334-5606

RICHARD KINDER MD

Emergency Medicine

2776 CLEVELAND AVE
FORT MYERS, FL 33901

Lee County (239) 334-5606

NOEL PAGLOMUTAN RONGO M.D.

Internal Medicine

2776 CLEVELAND AVE, SUITE 8228
FORT MYERS, FL 33901

Lee County (239) 334-5837

GERRIANN MEANDRO PA

Physician Assistant

2776 CLEVELAND AVE
FORT MYERS, FL 33901

Lee County (239) 334-5837

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 Nicole Outten's NPI number?

The NPI number for Nicole Outten is 1568619476. It was assigned to this individual provider in the NPPES registry on August 21, 2008.

Where is Nicole Outten located?

Nicole Outten practices at 2776 Cleveland Ave, Fort Myers, FL 33901. The listed phone number is (239) 343-2606.

What is Nicole Outten's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicole Outten enrolled in Medicare?

Yes. Nicole Outten is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Outten was last updated on June 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.