Individual provider Active NPI

Ismel Fernandez-Calienes, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1134809288
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11027919 Issued in FL
Practice address
8532 SW 8TH St Ste 290
Miami, FL 33144-4054
Phone
(786) 927-8048
NPI assigned
Jul 24, 2023
Last updated
Mar 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2025

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 11027919 FL Primary

Addresses

Primary practice location

8532 SW 8TH St Ste 290
Miami, FL 33144-4054

Mailing address

12891 SW 62ND LN
Miami, FL 33183-5450
Phone (786) 370-3039

Other practice location 1

12891 SW 62nd Ln
Miami, FL 33183-5450
Phone (786) 370-3039

Other identifiers 1

IdentifierTypeStateIssuer
121994300MedicaidFL

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
I20240206000959 FL Practitioner - Nurse Practitioner 7416390505 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11027919FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 26, 2023 Accepting new patients
Icare Mental Health and Wellness Services LLC Psychiatric/Mental Health CurrentSince Apr 14, 2024 Accepting new patients
Icare Mental Health and Wellness Services CurrentSince Mar 11, 2025 Accepting new patients
Icare Mental & Behavioral Wellness Inc. Current Accepting new patients
Lifetime Solutions Agency, LLC PastSince Oct 1, 2021 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

8532 SW 8th St
Ste 290
Miami, FL 33144
Phone (786) 927-8048

Interoperability endpoints

  • Direct secure messaging: icarementalhealthandwellnessservices.ismelfernandez-calienes@158139.advancedmd-direct.com

Organizations & group practices 6

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741996800000",
    "number": "1134809288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12891 SW 62ND LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331835450",
            "telephone_number": "786-370-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8532 SW 8TH ST STE 290",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444054",
            "telephone_number": "786-927-8048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12891 SW 62nd Ln",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331835450",
            "country_code": "US",
            "telephone_number": "786-370-3039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ-CALIENES",
        "first_name": "ISMEL",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11027919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121994300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.