MAGDAN LLC
NPI 1609501428
Clinic/Center - Adult Mental Health in Fort Myers, FL

Active since July 18, 2022
4519 TILTON CT, FORT MYERS, FL 33907(239) 372-6141 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 2, 2026, Mar 7, 2023, Dec 27, 2022 and 2 more (5 updates tracked since 2022).

About Magdan Llc NPPES

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

MAGDAN LLC (NPI 1609501428), doing business as Sprout Recovery, is a healthcare organization registered as an adult mental health in Fort Myers, Florida and active in the NPI registry since July 2022. The organization lists Edna Muchugu, Manager, as its authorized official.

NPPES Registry Identity

NPI1609501428
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameMAGDAN LLC
Location Address4519 TILTON CTFort Myers, FL 33907-1214
Mailing Address4519 Tilton CtFort Myers, FL 33907-1214 · (239) 372-6141
Organization SubpartNo
Authorized OfficialEdna MuchuguManager · (239) 372-6141
Enumeration DateJuly 18, 2022
Last NPPES UpdateApril 2, 20265 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1609501428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
4519 TILTON CT, Fort Myers, FL 33907

Other Names 2

Doing Business AsSprout Recovery
Doing Business AsZion Healing Center Fort Myers

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Magdan Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Magdan LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Mental Health Counselor
NPI 1124611959
13480 MARQUETTE BLVD
Fort Myers, FL 33905
(605) 415-6830
✔ PECOS12 mi
Mental Health Counselor
NPI 1841706827
3850 E STATE ROAD 64
Bradenton, FL 34208
(941) 748-2697
✔ PECOS✔ Accepts Medicare73 mi
Nurse Practitioner
NPI 1194458802
1255 GOLFVIEW AVE
Bartow, FL 33830
(863) 519-0575
✔ PECOS✔ Accepts Medicare89 mi
Psychiatry
NPI 1750599833
1579 THE GREENS WAY STE 18
Jacksonville Beach, FL 32250
(904) 373-0659
✔ PECOS✔ Accepts Medicare254 mi

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

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 Magdan LLC's NPI number?

The NPI number for Magdan LLC is 1609501428. It was assigned to this organization in the NPPES registry on July 18, 2022. The provider is doing business as Sprout Recovery and Zion Healing Center Fort Myers.

Where is Magdan LLC located?

Magdan LLC is located at 4519 Tilton Ct, Fort Myers, FL 33907. The listed phone number is (239) 372-6141.

What is Magdan LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Magdan LLC enrolled in Medicare?

Yes. Magdan LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Magdan LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Magdan LLC, in Mental Health Counselor, Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Magdan LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Magdan LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Magdan LLC was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.