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

Tammy J. Vicari-Green, PA-C

Individual provider Adult Psychiatric/Mental Health Registered Nurse · NPI 1629174578

Tammy J. Vicari-Green, PA-C is a Physician Assistant in Fort Myers, Florida. Qualified in 1995, 31 years ago. Practices with Lee Health System Inc, a 1,375-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Pennsylvania.

Years since qualifying
31
Licensed in
FL, PA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone: (239) 343-1614
Fax: (239) 343-3695
Show map & directions

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

Additional practice locations (1)

  • 4400 Lewis Rd, Harrisburg, PA 17111-2544 — (717) 558-6708

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9112219 (FL)
Adult Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0809X · Licence RN291664L (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA002095L (PA)

Record details

NPI number1629174578
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 16, 2006
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare