Individual provider Active NPI

Guillermo Ojeda, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1104682350
Registry record updated Jan 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11031528 Issued in FL
Practice address
1500 Colonial Blvd Ste 226
Fort Myers, FL 33907-1026
Phone
(329) 502-4331
Fax
(239) 893-1070
NPI assigned
Feb 26, 2024
Last updated
Jan 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11031528 FL Primary

Addresses

Primary practice location

1500 Colonial Blvd Ste 226
Fort Myers, FL 33907-1026

Mailing address

12040 SW 185TH Ter
Miami, FL 33177-3225
Phone (786) 539-9830

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
I20241014002200 FL Practitioner - Nurse Practitioner 8022540277 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arthur Bregman MD LLCGroup PAC ID 0547314940, 3 clinicians
Andrew Pleener, MD, P.a.Group PAC ID 9537519020, 18 clinicians

Practice addresses (Care Compare)

1550 Madruga Ave
Suite 406
Coral Gables, FL 33146-3019
Phone (305) 740-3340

9100 Conroy Windermere Rd
Suite 200
Windermere, FL 34786-8431
Phone (407) 462-1254

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11031528FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Pleener, MD, P.a. CurrentSince Nov 1, 2024 Accepting new patients
Bregman Psychiatry LLC CurrentSince Jul 9, 2024 Accepting new patients
Doctors Collaborative Care Solutions PastSince Jul 9, 2024 Accepting new patients

Locations

1550 Madruga Ave
Ste 201
Coral Gables, FL 33146
Phone (305) 740-3340

1550 Madruga Ave
Ste 406
Coral Gables, FL 33146
Phone (305) 740-3340

9100 Conroy Windermere Rd
Ste 200
Windermere, FL 34786
Phone (407) 395-2042

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769299200000",
    "number": "1104682350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12040 SW 185TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331773225",
            "telephone_number": "786-539-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 COLONIAL BLVD STE 226",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071026",
            "telephone_number": "329-502-4331",
            "fax_number": "239-893-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJEDA",
        "first_name": "GUILLERMO",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-26",
        "last_updated": "2026-01-25",
        "certification_date": "2026-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11031528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.