Individual provider Active NPI

Ernesto Guevara, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1093342818
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11006442 Issued in FL
Practice address
1469 NW 36TH St
Miami, FL 33142-5557
Phone
(305) 635-7444
NPI assigned
Mar 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11006442 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11006442 FL Primary

Addresses

Primary practice location

1469 NW 36TH St
Miami, FL 33142-5557

Mailing address

14113 SW 161St CT
Miami, FL 33196-6543
Phone (786) 366-2050

Other practice location 1

7171 SW 62nd Ave
South Miami, FL 33143-4723
Phone (786) 366-2050

Other practice location 2

4180 SW 74th Ct
Miami, FL 33155-4443
Phone (786) 355-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201019003232 FL Practitioner - Nurse Practitioner 5890115505 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Horizons Community Mental Health Center, IncGroup PAC ID 8729008214, 4 clinicians
Excellence Care Florida LLCGroup PAC ID 3678971264, 3 clinicians

Practice addresses (Care Compare)

1469 NW 36TH St
Miami, FL 33142-5557
Phone (305) 635-0366

4005 NW 114TH Ave
Unit 22
Doral, FL 33178-4373
Phone (305) 260-6913

Hospital & facility affiliations

  • Ace Home Health Services Corp Home health agency, Sweetwater, FL, CCN 108250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excellence Care Florida LLC Family CurrentSince Aug 2, 2021 Accepting new patients
New Horizons Community Mental Health Center, Inc CurrentSince Aug 25, 2020 Accepting new patients
BG Health Group LLC CurrentSince May 7, 2024 Accepting new patients
BG Doral Care Nurse Registry Corp PastSince Apr 29, 2026 Accepting new patients

Locations

4005 NW 114th Ave
Unit 22
Doral, FL 33178
Phone (305) 260-6913

4005 NW 114th Ave
Unit 22A
Doral, FL 33178
Phone (305) 260-6913

4005 NW 114th Ave
Doral, FL 33178
Phone (754) 828-6161

1469 NW 36th St
Miami, FL 33142
Phone (305) 635-0366

7171 SW 62nd Ave
South Miami, FL 33143
Phone (305) 270-5305

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1093342818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14113 SW 161ST CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966543",
            "telephone_number": "786-366-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 NW 36TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331425557",
            "telephone_number": "305-635-7444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7171 SW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434723",
            "country_code": "US",
            "telephone_number": "786-366-2050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4180 SW 74th Ct",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331554443",
            "country_code": "US",
            "telephone_number": "786-355-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "ERNESTO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006442",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11006442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.