Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerad Rardin

Individual provider Nurse Practitioner · NPI 1083163042

Jerad Rardin is a Nurse Practitioner in Fort Myers, Florida. Qualified in 2016, 10 years ago. Practices with Lee Health System Inc, a 1,375-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
10
Licensed in
FL, GA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

13685 Doctors Way Ste 350
Fort Myers, FL 33912-4347
Phone: (239) 343-3800
Fax: (239) 343-3993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11010462 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence RN148874 (GA)

Record details

NPI number1083163042
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 30, 2016
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fort Myers