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MR. BURGESS INGERSOLL CAA
NPI 1659259372
Anesthesiologist Assistant in Fort Myers, FL

Active since August 21, 2025Accepts Medicare Assignment
2776 CLEVELAND AVE, FORT MYERS, FL 33901(888) 339-8727 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Burgess Ingersoll Caa NPPES

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

MR. BURGESS INGERSOLL CAA (NPI 1659259372) is an individual anesthesiologist assistant in Fort Myers, Florida, licensed in Florida (AA1139) and active in the NPI registry since August 2025. He is affiliated with Lee Memorial Hospital and is a graduate of Other (2025).

NPPES Registry Identity

NPI1659259372
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMR. BURGESS INGERSOLLCredential: CAA
Location Address2776 CLEVELAND AVEFort Myers, FL 33901-5864
Mailing Address2776 Cleveland AveFort Myers, FL 33901-5864 · (888) 339-8727
Phone(888) 339-8727
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 21, 2025
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1659259372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in FL · AA1139
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
2776 CLEVELAND AVE, Fort Myers, FL 33901
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Burgess Ingersoll Caa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456858372
PECOS Enrollment IDI20251008000391

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100244
Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County
Emergency services Birthing friendly

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.

FELICIA NICOLE REEVES CAA
Anesthesiologist Assistant
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (954) 759-1985
DONALD BOUNDS PA
Physician Assistant
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (239) 343-2606
DR. KARI BETH DUCKWORTH PHARM.D.
Pharmacist
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (239) 343-3374
JOSEPH GULDE MD
Emergency Medicine
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (239) 334-5606
CARRIE DUNN MD
Emergency Medicine
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (239) 343-2606
MRS. EMILY JOY NAFTALI PA-C
Physician Assistant (Medical)
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (239) 343-1614
JULIE MARSHA TEUBER MD
Emergency Medicine
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (239) 343-1614
JEFFREY ST. FIRMIN PA-C
Physician Assistant
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (239) 343-2606

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 Burgess Ingersoll's NPI number?

The NPI number for Burgess Ingersoll is 1659259372. It was assigned to this individual provider in the NPPES registry on August 21, 2025.

Where is Burgess Ingersoll located?

Burgess Ingersoll practices at 2776 Cleveland Ave, Fort Myers, FL 33901. The listed phone number is (888) 339-8727.

What is Burgess Ingersoll's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Burgess Ingersoll enrolled in Medicare?

Yes. Burgess Ingersoll is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Burgess Ingersoll affiliated with any hospitals?

According to CMS data, Burgess Ingersoll is affiliated with Lee Memorial Hospital and Cape Coral Hospital.

When was this NPI record last updated?

The NPPES record for Burgess Ingersoll was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.