JOSH IMMITT PA
NPI 1992336721
Military Health Care Provider in Port Charlotte, FL

Q: What is Josh Immitt's NPI number?

The NPI number for Josh Immitt is 1992336721. It was assigned to this individual provider in the NPPES registry on January 30, 2020.

Q: What is Josh Immitt's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Q: When was this NPI record last updated?

The NPPES record for Josh Immitt was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since January 30, 2020PECOS EnrolledAccepts Medicare Assignment

19531 COCHRAN BLVD, PORT CHARLOTTE, FL 33948(941) 255-3535(941) 766-7999 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2024, Jan 30, 2020 (2 updates tracked since 2020).

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About Josh Immitt Pa NPPES

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

JOSH IMMITT PA (NPI 1992336721) is an individual military health care provider provider in Port Charlotte, Florida and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Fawcett Hospital, and maintains a secondary practice location in Fpo.

NPPES Registry Identity

NPI1992336721

Entity TypeIndividualMale

Primary Taxonomy171000000X

Provider Legal NameJOSH IMMITTCredential: PA

Location Address19531 COCHRAN BLVDPort Charlotte, FL 33948-2081

Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (778) 563-7748

Phone(941) 255-3535

Fax(941) 766-7999

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 30, 2020

Last NPPES UpdateDecember 4, 20242 updates tracked since enumeration

NPPES CertifiedDecember 4, 2024

✔ NPI 1992336721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers

Taxonomy Code171000000X

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

19531 COCHRAN BLVD, Port Charlotte, FL 33948

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Secondary Practice Location 1

Location 1Weed Army Community Hospital, Building 390, N Loop RoadFPO, AA 92310 · Phone (516) 423-9010

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

Josh Immitt Pa 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 ID4082140280

PECOS Enrollment IDI20241211003193

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

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

Hca Florida Fawcett Hospital

Acute Care Hospitals · Port Charlotte, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100236

Location21298 Olean BlvdPort Charlotte, FL 33952 · Charlotte County

Emergency services

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.

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