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

Nicole Dumas Vanderlaan, PA-C

Individual provider Physician Assistant · NPI 1255305934

Nicole Dumas Vanderlaan, PA-C is a Physician Assistant in Fort Myers, Florida. Qualified in 1999, 27 years ago. Practices with Florida Heart Associates Pl, a 27-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
27
Licensed in
FL, MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1550 Barkley Cir
Fort Myers, FL 33907-4539
Phone: (239) 938-2000
Fax: (239) 278-0404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1002 Country Club Blvd, Cape Coral, FL 33990-3025 — (239) 938-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9105000 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 5601002686 (MI)

Record details

NPI number1255305934
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 17, 2006
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Florida Heart Associates Pl — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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