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EDSEL JAMES PARKER A-APRN, FNP-C
NPI 1679237242
Nurse Practitioner - Family in Fort Myers, FL

Active since October 28, 2021Opted out of Medicare · through Aug 30, 2026
17595 S TAMIAMI TRL STE 101, FORT MYERS, FL 33908(239) 236-9530(239) 482-4994 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2025, Mar 15, 2023, May 11, 2022 (3 updates tracked since 2022).

About Edsel James Parker A-aprn, Fnp-c NPPES

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

EDSEL JAMES PARKER A-APRN, FNP-C (NPI 1679237242) is an individual family provider in Fort Myers, Florida, licensed in Florida (APRN11016283) and active in the NPI registry since October 2021. He has opted out of Medicare through August 30, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679237242
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameEDSEL JAMES PARKERCredential: A-APRN, FNP-C
Location Address17595 S TAMIAMI TRL STE 101Fort Myers, FL 33908-4500
Mailing Address17595 S Tamiami Trl Ste 101Fort Myers, FL 33908-4500 · (239) 236-9530
Phone(239) 236-9530
Fax(239) 482-4994
Sole ProprietorNo
Enumeration DateOctober 28, 2021
Last NPPES UpdateMarch 24, 20253 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1679237242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11016283
17595 S TAMIAMI TRL STE 101, Fort Myers, FL 33908
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Edsel James Parker A-aprn, Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 30, 2022 through August 30, 2026.

Opt-Out Effective DateAugust 30, 2022
Opt-Out In Effect ThroughAugust 30, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33908 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

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

PARKER FAMILY MEDICINE PLLC
Clinic/Center (Primary Care)
17595 S TAMIAMI TRL STE 101
FORT MYERS, FL 33908
Lee County (239) 236-9530

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 Edsel Parker's NPI number?

The NPI number for Edsel Parker is 1679237242. It was assigned to this individual provider in the NPPES registry on October 28, 2021.

Where is Edsel Parker located?

Edsel Parker practices at 17595 S Tamiami Trl Ste 101, Fort Myers, FL 33908. The listed phone number is (239) 236-9530.

What is Edsel Parker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Edsel Parker enrolled in Medicare?

No. Edsel Parker has opted out of Medicare through August 30, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Edsel Parker was last updated on March 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.