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

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.