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

Lory Ann Taraborelli

Individual provider Critical Care Medicine Clinical Nurse Specialist · NPI 1457986879

Lory Ann Taraborelli is a Nurse Practitioner in Fort Myers, Florida. Qualified in 2019, 7 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2020

Practice location Address checks out

2675 Winkler Ave
Fort Myers, FL 33901-9342
Phone: (855) 979-5700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Clinical Nurse Specialist (primary) Taxonomy 364SC0200X · Licence 11005220 (FL)

Record details

NPI number1457986879
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 5, 2020
Last updated in NPPESMarch 1, 2021
Certification dateMarch 1, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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