Individual provider Active NPI

Luisander Reyes Jorge

  • Family Nurse Practitioner
  • Palmetto, FL
National Provider Identifier
1285490938
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11031407 Issued in FL
Practice address
2785 89TH Street Cir E
Palmetto, FL 34221-1325
Phone
(786) 352-6656
NPI assigned
Feb 21, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11031407 FL Primary

Addresses

Primary practice location

2785 89TH Street Cir E
Palmetto, FL 34221-1325

Mailing address

2785 89TH Street Cir E
Palmetto, FL 34221-1325
Phone (786) 352-6656

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
I20240312003573 FL Practitioner - Nurse Practitioner 0648616698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Partners Plus PLLCGroup PAC ID 4284155425, 125 clinicians
Chma of FL, PLLCGroup PAC ID 8123420643, 25 clinicians

Practice addresses (Care Compare)

Fort Myers, FL 33905
Phone (888) 402-0202

2777 NE 183Rd St
Aventura, FL 33160-2165
Phone (443) 383-9300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11031407FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Mar 1, 2025 Accepting new patients
Chma of FL, PLLC CurrentSince Mar 7, 2024 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

2875 NE 191st St
Ste 500
Aventura, FL 33180
Phone (305) 741-5628

9160 Forum Corporate Pkwy
Ste 350
Fort Myers, FL 33905
Phone (239) 785-3200

1990 Main St
Ste 750
Sarasota, FL 34236
Phone (888) 830-7849

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1285490938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 89TH STREET CIR E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342211325",
            "telephone_number": "786-352-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 89TH STREET CIR E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342211325",
            "telephone_number": "786-352-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES JORGE",
        "first_name": "LUISANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11031407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, FL

Sources for this page

Verify at the official NPI Registry.