MAGDAN LLC
NPI 1619755501
Clinic/Center in Fort Myers, FL

Q: What is Magdan LLC's NPI number?

The NPI number for Magdan LLC is 1619755501. It was assigned to this organization in the NPPES registry on September 20, 2023.

Q: What is Magdan LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Magdan LLC was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 20, 2023

9405 CYPRESS LAKE DR STE 2, FORT MYERS, FL 33919(239) 372-6141(239) 936-3391 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Magdan Llc NPPES

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

MAGDAN LLC (NPI 1619755501) is a healthcare organization registered as a clinic/center in Fort Myers, Florida and active in the NPI registry since September 2023. The organization lists Edna Muchugu, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1619755501

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameMAGDAN LLC

Location Address9405 CYPRESS LAKE DR STE 2Fort Myers, FL 33919-0909

Mailing Address9405 Cypress Lake Dr Ste 2Fort Myers, FL 33919-0909

Phone(239) 372-6141

Fax(239) 936-3391

Organization SubpartYes

Authorized OfficialEdna MuchuguExecutive Director · (239) 372-6141

Enumeration DateSeptember 20, 2023

Last NPPES UpdateSeptember 26, 2023

NPPES CertifiedSeptember 26, 2023

✔ NPI 1619755501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

9405 CYPRESS LAKE DR STE 2, Fort Myers, FL 33919

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..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

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)

Michelle Feiszli, LMHC, NCC

Mental Health Counselor

NPI 1124611959

13480 MARQUETTE BLVD
Fort Myers, FL 33905

(605) 415-6830

✔ PECOS16 mi

Miranda Marts

Mental Health Counselor

NPI 1841706827

3850 E STATE ROAD 64
Bradenton, FL 34208

(941) 748-2697

✔ PECOS✔ Accepts Medicare75 mi

Yesenia Martin, PMHNP

Nurse Practitioner

NPI 1194458802

1255 GOLFVIEW AVE
Bartow, FL 33830

(863) 519-0575

✔ PECOS✔ Accepts Medicare92 mi

Chadd Eaglin, M.D.

Psychiatry

NPI 1750599833

1579 THE GREENS WAY STE 18
Jacksonville Beach, FL 32250

(904) 373-0659

✔ PECOS✔ Accepts Medicare257 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 1619755501. It was assigned to this organization in the NPPES registry on September 20, 2023.

Where is Magdan LLC located?

Magdan LLC is located at 9405 Cypress Lake Dr Ste 2, Fort Myers, FL 33919. The listed phone number is (239) 372-6141.

What is Magdan LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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 Cigna HealthCare of Florida, Inc. and Cigna Healthcare 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 September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.