Individual provider Active NPI

Dailyn Hernandez Martinez, ACNPC-AG-BC

  • Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1174407456
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11041282 Issued in FL
Practice address
11296 Thurston Chase
Fort Myers, FL 33913-9366
Phone
(239) 600-5476
NPI assigned
Aug 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11041282 FL
Gerontology Nurse Practitioner 363LG0600X 11041282 FL
Nurse Practitioner 363L00000X 11041282 FL Primary

Addresses

Primary practice location

11296 Thurston Chase
Fort Myers, FL 33913-9366

Mailing address

11296 Thurston Chase
Fort Myers, FL 33913-9366
Phone (239) 600-5476

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
I20250923000217 FL Practitioner - Nurse Practitioner 9133624174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gi Providers LLCGroup PAC ID 5193170546, 5 clinicians
SW Florida Pain Center Inc.Group PAC ID 4486748522, 4 clinicians

Practice addresses (Care Compare)

Naples, FL 34113
Phone 2397321133110

19621 Cochran Blvd
Suite 3
Port Charlotte, FL 33948-2070
Phone (941) 627-9095

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11041282FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SW Florida Pain Center Inc CurrentSince Oct 24, 2025 Accepting new patients
Gi Providers LLC CurrentSince Sep 12, 2025 Accepting new patients

Locations

1730 NE Pine Island Rd
Cape Coral, FL 33909
Phone (205) 968-4485

3050 Champion Ring Rd
Fort Myers, FL 33905
Phone (239) 313-2900

5077 Tamiami Trl E
Naples, FL 34113
Phone (239) 732-1133

19621 Cochran Blvd
Port Charlotte, FL 33948
Phone (855) 674-4624

19621 Cochran Blvd
Ste 3
Pt Charlotte, FL 33948
Phone (941) 627-9095

1299 Jacaranda Blvd
Venice, FL 34292
Phone (941) 303-5505

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1174407456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11296 THURSTON CHASE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339139366",
            "telephone_number": "239-600-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11296 THURSTON CHASE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339139366",
            "telephone_number": "239-600-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ MARTINEZ",
        "first_name": "DAILYN",
        "credential": "ACNPC-AG-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11041282",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11041282",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11041282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.