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LEE MEMORIAL HEALTH SYSTEM
NPI 1720715295
Clinic/Center - Federally Qualified Health Center (FQHC) in Fort Myers, FL

Active since August 04, 2022
8925 COLONIAL CENTER DR STE 2001, FORT MYERS, FL 33905(239) 343-9567(239) 343-9571 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lee Memorial Health System NPPES

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

LEE MEMORIAL HEALTH SYSTEM (NPI 1720715295), doing business as Lch -adult Hematology/oncology, is a healthcare organization registered as a federally qualified health center (fqhc) in Fort Myers, Florida and active in the NPI registry since August 2022. The organization lists Joseph Niebergall, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1720715295
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLEE MEMORIAL HEALTH SYSTEM
Location Address8925 COLONIAL CENTER DR STE 2001Fort Myers, FL 33905-7813
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-9567 · Fax (239) 343-9571
Phone(239) 343-9567
Fax(239) 343-9571
Organization SubpartNo
Authorized OfficialJoseph NiebergallCredentialing Specialist · (239) 424-1446
Enumeration DateAugust 4, 2022
NPPES CertifiedJuly 27, 2022
✔ NPI 1720715295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
8925 COLONIAL CENTER DR STE 2001, Fort Myers, FL 33905
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Other Names 1

Doing Business AsLch -adult Hematology/oncology

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lee Memorial Health System is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,341

Medicare enrollment records show 1,341 clinicians reassign Medicare billing to Lee Memorial Health System, which bills Medicare for the services they deliver. Of these, 22 practice at this address and 933 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 50

Nurse Practitioner338
Hospitalist126
Neurology113
Internal Medicine100
Family Practice91
Emergency Medicine88
Pediatric Medicine67
Cardiovascular Disease (Cardiology)55
42 other specialties363

Nearest to this location (20)

See all 1,341
Monika Arya, M.D.
Hematology/Oncology
NPI 1265697262
8925 COLONIAL CENTER DR STE 2001
Fort Myers, FL 33905
(239) 343-9567
✔ PECOS✔ Accepts MedicareSame address
Yadile Benoit, DNP, APRN
Nurse Practitioner
NPI 1609490929
8925 COLONIAL CENTER DR STE 2001
Fort Myers, FL 33905
(239) 343-9567
✔ PECOS✔ Accepts MedicareSame address
Brenda Eastham, APRN
Nurse Practitioner
NPI 1992083265
8925 COLONIAL CENTER DR STE 1000
Fort Myers, FL 33905
(239) 343-9560
✔ PECOS✔ Accepts MedicareSame address
Tia Gloster, APRN
Nurse Practitioner
NPI 1962019836
8925 COLONIAL CENTER DR STE 1000
Fort Myers, FL 33905
(239) 343-9560
✔ PECOS✔ Accepts MedicareSame address
Tonya Gottshalk, APRN
Nurse Practitioner
NPI 1316914393
8925 COLONIAL CENTER DR STE 1000
Fort Myers, FL 33905
(239) 343-9560
✔ PECOS✔ Accepts MedicareSame address
Amber Greco, APRN
Nurse Practitioner
NPI 1467569384
8925 COLONIAL CENTER DR STE 1000
Fort Myers, FL 33905
(239) 343-9560
✔ PECOS✔ Accepts MedicareSame address
Janine Harewood, M.D
Hematology/Oncology
NPI 1982090833
8925 COLONIAL CENTER DR STE 2001
Fort Myers, FL 33905
(239) 343-9567
✔ PECOS✔ Accepts MedicareSame address
Sandra Kreulen, FNP
Nurse Practitioner
NPI 1548439128
8925 COLONIAL CENTER DR STE 1000
Fort Myers, FL 33905
(239) 343-9560
✔ PECOS✔ Accepts MedicareSame address
Roberta Marino, APRN, FNP-BC
Nurse Practitioner
NPI 1457904336
8925 COLONIAL CENTER DR STE 1001
Fort Myers, FL 33905
(239) 343-5864
✔ PECOS✔ Accepts MedicareSame address
Pawanard Modpradit, APRN
Nurse Practitioner
NPI 1245905173
8925 COLONIAL CENTER DR STE 1000
Fort Myers, FL 33905
(239) 343-9560
✔ PECOS✔ Accepts MedicareSame address
Michael Mongiello, MSN, MA, NP-C, RN
Nurse Practitioner
NPI 1265942791
8925 COLONIAL CENTER DR STE 2001
Fort Myers, FL 33905
(239) 343-9567
✔ PECOS✔ Accepts MedicareSame address
Manoel Moraes, MD
Hematology/Oncology
NPI 1114996170
8925 COLONIAL CENTER DR STE 2001
Fort Myers, FL 33905
(239) 343-9567
✔ PECOS✔ Accepts MedicareSame address
Teresa Thompson, APRN
Nurse Practitioner
NPI 1629480603
8925 COLONIAL CENTER DR STE 1000
Fort Myers, FL 33905
(239) 343-9560
✔ PECOS✔ Accepts MedicareSame address
Michelle Thomson, APRN
Nurse Practitioner
NPI 1639440936
8931 COLONIAL CENTER DR STE 300
Fort Myers, FL 33905
(239) 343-9567
✔ PECOS✔ Accepts MedicareSame address
Michael Wertheim, MD
Hematology/Oncology
NPI 1982643474
8931 COLONIAL CENTER DR STE 300
Fort Myers, FL 33905
(239) 343-9567
✔ PECOS✔ Accepts MedicareSame address
Jorge Perez De Armas, MD
Hematology/Oncology
NPI 1427261726
8931 COLONIAL CENTER DR STE 300
Fort Myers, FL 33905
(239) 343-9567
✔ PECOS✔ Accepts MedicareSame address
Jacqueline Bruening Wendorf, LCSW
Clinical Social Worker
NPI 1225641780
8925 COLONIAL CENTER DR STE 1000
Fort Myers, FL 33905
(239) 343-9560
✔ PECOS✔ Accepts MedicareSame address
Cynthia Major, CNP, APRN
Nurse Practitioner
NPI 1780221002
8925 COLONIAL CENTER DR STE 1000
Fort Myers, FL 33905
(239) 343-9560
✔ PECOS✔ Accepts MedicareSame address
Elise Martinez, NP
Nurse Practitioner
NPI 1588255574
8925 COLONIAL CENTER DR STE 2001
Fort Myers, FL 33905
(239) 343-9567
✔ PECOS✔ Accepts MedicareSame address
Joseph Klink, M.D.
Urology
NPI 1073715744
8931 COLONIAL CENTER DR STE 401
Fort Myers, FL 33905
(239) 396-8930
✔ PECOS✔ Accepts MedicareSame address
See all 1,341 clinicians

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 Lee Memorial Health System's NPI number?

The NPI number for Lee Memorial Health System is 1720715295. It was assigned to this organization in the NPPES registry on August 4, 2022. The provider is doing business as Lch -Adult Hematology/Oncology.

Where is Lee Memorial Health System located?

Lee Memorial Health System is located at 8925 Colonial Center Dr Ste 2001, Fort Myers, FL 33905. The listed phone number is (239) 343-9567.

What is Lee Memorial Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Lee Memorial Health System enrolled in Medicare?

Yes. Lee Memorial Health System is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lee Memorial Health System?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,341 clinicians in 50 Medicare specialties reassign their Medicare billing to Lee Memorial Health System. 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. The largest specialties are Nurse Practitioner (338), Hospitalist (126) and Neurology (113). Of these, 22 practice at this address and 933 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lee Memorial Health System was last updated on August 4, 2022. 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.