MR. JOHN DANIEL VANDEVELDE PNP
NPI 1922089804
Nurse Practitioner - Pediatrics in Cape Coral, FL
About Mr. John Daniel Vandevelde Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN DANIEL VANDEVELDE PNP (NPI 1922089804) is an individual pediatrics provider in Cape Coral, Florida, licensed in Florida (ARNP 9455776) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. John Daniel Vandevelde Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Vandevelde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cape Coral, FL 33990
- Reassigned Medicare billing, Florida enrollment
- 54 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33990 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CAPE CORAL, FL 33990
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 John Vandevelde's NPI number?
The NPI number for John Vandevelde is 1922089804. It was assigned to this individual provider in the NPPES registry on November 8, 2005.
Where is John Vandevelde located?
John Vandevelde practices at 1261 Viscaya Pkwy Ste 101, Cape Coral, FL 33990. The listed phone number is (239) 573-7337.
What is John Vandevelde's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is John Vandevelde enrolled in Medicare?
Yes. John Vandevelde is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Vandevelde's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Vandevelde reassigns Medicare benefits to Physicians Primary Care Of Southwest Florida Pl (Cape Coral, FL). The 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 John Vandevelde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Vandevelde was last updated on August 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mr. John Daniel Vandevelde, PNP · NPI 1922089804
Pediatrics physician in Cape Coral, Florida. Individual provider, active in the CMS NPPES registry since November 8, 2005.
## Identity
- **NPI:** 1922089804 (Entity type: Individual)
- **Enumerated:** November 8, 2005
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** ARNP 9455776 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1261 VISCAYA PKWY STE 101, Cape Coral, FL 33990-3252
- **Phone:** (239) 573-7337 · **Fax:** (239) 574-5883
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Physicians Primary Care Of Southwest Florida Pl (NPI 1326021239, Cape Coral, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 25, 2020
- **Other identifiers:** Other BMBUO (FL); Medicaid 020729900 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1922089804) · Data from the CMS NPPES public registry.