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KATHRYN JEAN UDELL APRN
NPI 1619190105
Nurse Practitioner - Adult Health in Fort Myers, FL

Active since April 11, 2007PECOS Enrolled
13774 PLANTATION RD STE 100, FORT MYERS, FL 33912(239) 236-7777(239) 245-7028 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 21, 2021, Oct 27, 2020, Mar 2, 2020 and 2 more (5 updates tracked since 2018).

About Kathryn Jean Udell Aprn NPPES

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

KATHRYN JEAN UDELL APRN (NPI 1619190105) is an individual adult health provider in Fort Myers, Florida, licensed in Florida (APRN1280482) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619190105
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKATHRYN JEAN UDELLCredential: APRN
Location Address13774 PLANTATION RD STE 100Fort Myers, FL 33912-4461
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774 · Fax (239) 590-2612
Phone(239) 236-7777
Fax(239) 245-7028
Sole ProprietorNo
Enumeration DateApril 11, 2007
Last NPPES UpdateDecember 21, 20215 updates tracked since enumeration
NPPES CertifiedDecember 21, 2021
✔ NPI 1619190105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · APRN1280482
13774 PLANTATION RD STE 100, Fort Myers, FL 33912
Open in Google Maps ↗

Secondary Practice Locations 2

Location 18925 Colonial Center Dr Ste 1000Fort Myers, FL 33905 · Phone (239) 343-9560 · Fax (239) 343-9624
Location 28960 Colonial Center Dr, Suite 206Fort Myers, FL 33905-7810 · Phone (239) 343-9560 · Fax (239) 343-9624

Other Identifiers 1

Medicaid30223400FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Jean Udell Aprn 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 Kathryn Udell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Millennium Physician Group LLC
0.4 mi
Family Medicine
6321 DANIELS PKWY
Fort Myers, FL 33912
  • Reassigned Medicare billing, Florida enrollment
  • 1,278 clinicians in this Medicare group
NPI 1811122880 (877) 856-3774

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 33912 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 5

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

DR. FREDERICK J. BURFORD II D.O.
Family Medicine
13774 PLANTATION RD STE 100
FORT MYERS, FL 33912
Lee County (239) 236-7777
KATHRYN ANNE TUTTLE FNP-C
Nurse Practitioner (Family)
13774 PLANTATION RD STE 100
FORT MYERS, FL 33912
Lee County (239) 236-7777
MILLENNIUM PHYSICIAN GROUP LLC
Family Medicine
13774 PLANTATION RD STE 100
FORT MYERS, FL 33912
Lee County (239) 236-7777
DR. ANJANA M CHAUDHARI M.D.
Family Medicine
13774 PLANTATION RD STE 100
FORT MYERS, FL 33912
Lee County (239) 236-7777
KIM DOREEN SCHURMAN M.D.
Internal Medicine
13774 PLANTATION RD STE 100
FORT MYERS, FL 33912
Lee County (239) 236-7777

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 Kathryn Udell's NPI number?

The NPI number for Kathryn Udell is 1619190105. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Kathryn Udell located?

Kathryn Udell practices at 13774 Plantation Rd Ste 100, Fort Myers, FL 33912. The listed phone number is (239) 236-7777.

What is Kathryn Udell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kathryn Udell enrolled in Medicare?

Yes. Kathryn Udell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathryn Udell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Udell reassigns Medicare benefits to Millennium Physician Group LLC (Fort Myers, FL). The 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 Kathryn Udell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathryn Udell was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.