Jorge L Fernandez Guerra, APRN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11023138 Issued in FL

Practice address

4805 26TH St W
Bradenton, FL 34207-1706

Phone

(941) 753-7843

Fax

(941) 567-3357

NPI assigned

Dec 1, 2022

Last updated

Sep 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

79.55 of 100Reported as group

Improvement activities

40

Cost

39.11

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jorge.fernandezguerra.1@11352.direct.athenahealth.com

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.

• Centerplace Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Sarasota, FL
  • NPI 1104316272
  Medicare reassignment NPD
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000

  Family

  Medicare reassignment NPD
• MCR Health, Inc.

  dba Riverside Medical Center

  • Non-Pharmacy Dispensing Site
  • Bradenton, FL
  • NPI 1821878745
  NPD
• MCR Health, Inc.

  dba Manor Healthcare Center

  • Family Medicine Physician
  • Bradenton, FL
  • NPI 1730115882
  NPD (past)
• Personal Wellness Medicine, LLC

  • Prevention Professional
  • Sarasota, FL
  • NPI 1093306292
  NPD (past)

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1124738919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5916 BRIAR ROSE WAY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322331",
            "telephone_number": "786-380-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071706",
            "telephone_number": "941-753-7843",
            "fax_number": "941-567-3357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Ringling Blvd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342376102",
            "country_code": "US",
            "telephone_number": "941-529-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5916 Briar Rose Way",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342322331",
            "country_code": "US",
            "telephone_number": "786-380-9580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ GUERRA",
        "first_name": "JORGE",
        "middle_name": "L",
        "credential": "APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-01",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11023138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecelia Ferguson, COTA/L
• Robert Thrift Ferguson, MD
• Jesus Alberto Fermin, RDMS
• Christina Fernandes, PA
• Alberto O Fernandez Bravo, MD
• Alexandra Fernandez
• Claudia Seremy Fernandez, MD
• Enrique Jose Fernandez, MD
• Lucille Fernandez, LCSW
• Liyanage Wimal Fernando, M.D.

• Family Nurse Practitioner in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.