LEE MEMORIAL HEALTH SYSTEM
NPI 1770165920
Clinic/Center - Federally Qualified Health Center (FQHC) in Fort Myers, FL

Active since April 27, 2021
9800 S HEALTHPARK DR STE 110, FORT MYERS, FL 33908(239) 343-6050(239) 343-6136 Get Directions Write a Review

NPPES record last updated: April 27, 2021. 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 1770165920), doing business as Lch- Pediatric Ophthalmology, is a healthcare organization registered as a federally qualified health center (fqhc) in Fort Myers, Florida and active in the NPI registry since April 2021. The organization lists Joseph Niebergall, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1770165920
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLEE MEMORIAL HEALTH SYSTEM
Location Address9800 S HEALTHPARK DR STE 110Fort Myers, FL 33908-3630
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-6050 · Fax (239) 343-6136
Fax(239) 343-6136
Organization SubpartNo
Authorized OfficialJoseph NiebergallCredentialing Specialist · (239) 424-1446
Enumeration DateApril 27, 2021
NPPES CertifiedMarch 31, 2021
✔ NPI 1770165920 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
9800 S HEALTHPARK DR STE 110, Fort Myers, FL 33908

Other Names 1

Doing Business AsLch- Pediatric Ophthalmology

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, 27 practice at this address and 945 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
Certified Nurse Midwife (CNM)
NPI 1497204481
9800 S HEALTHPARK DR STE 205
Fort Myers, FL 33908
(239) 343-7130
✔ PECOSSame address
Nurse Practitioner
NPI 1922534338
9800 S HEALTHPARK DR STE 320
Fort Myers, FL 33908
(239) 343-6350
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1134626807
9800 S HEALTHPARK DR STE 320
Fort Myers, FL 33908
(239) 343-6350
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1578398699
9800 S HEALTHPARK DR STE 205
Fort Myers, FL 33908
(239) 343-7130
✔ PECOS✔ Accepts MedicareSame address
Cardiac Electrophysiology
NPI 1871557082
9800 S HEALTH PARK DR SUITE 320
Fort Myers, FL 33908
(239) 343-6350
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1013974435
9800 S HEALTH PARK DR SUITE 320
Fort Myers, FL 33908
(239) 343-6350
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1225666498
9800 S HEALTHPARK DR STE 205
Fort Myers, FL 33908
(239) 343-7130
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1417914771
9800 S HEALTH PARK DR SUITE 320
Fort Myers, FL 33908
(239) 433-8888
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1073570404
9800 S HEALTH PARK DR SUITE 320
Fort Myers, FL 33908
(239) 433-8888
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1265466684
9800 S HEALTHPARK DR STE 205
Fort Myers, FL 33908
(239) 343-7130
✔ PECOSSame address
Nurse Practitioner
NPI 1184082661
9800 S HEALTHPARK DR STE 205
Fort Myers, FL 33908
(239) 343-7130
✔ PECOSSame address
Nurse Practitioner
NPI 1770559049
9800 S HEALTHPARK DR STE 110
Fort Myers, FL 33908
(239) 343-6202
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1407255953
9800 S HEALTHPARK DR STE 205
Fort Myers, FL 33908
(239) 343-7130
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1174986004
9800 S HEALTHPARK DR STE 205
Fort Myers, FL 33908
(239) 343-7130
✔ PECOS✔ Accepts MedicareSame address
Cardiac Electrophysiology
NPI 1992967319
9800 S HEALTH PARK DRIVE SUITE 320
Fort Myers, FL 33908
(239) 343-6350
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1275648586
9800 S HEALTHPARK DR STE 110
Fort Myers, FL 33908
(239) 343-6202
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1598262008
9800 S HEALTHPARK DR STE 110
Fort Myers, FL 33908
(239) 343-6202
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1235399114
9800 S HEALTHPARK DR STE 110
Fort Myers, FL 33908
(239) 343-6202
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1952667487
9800 S HEALTHPARK DR STE 205
Fort Myers, FL 33908
(239) 343-7130
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1952646507
9800 S HEALTHPARK DR STE 110
Fort Myers, FL 33908
(239) 343-6202
✔ 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 1770165920. It was assigned to this organization in the NPPES registry on April 27, 2021. The provider is doing business as LCH- Pediatric Ophthalmology.

Where is Lee Memorial Health System located?

Lee Memorial Health System is located at 9800 S Healthpark Dr Ste 110, Fort Myers, FL 33908. The listed phone number is (239) 343-6050.

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, 27 practice at this address and 945 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 April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.