Active NPI
Adrian Ricardo Reyes, APRN
- Family Nurse Practitioner
- North Fort Myers, FL
National Provider Identifier
1295377166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11003199
- Practice address
- 5660 Bayshore Rd Ste 42
North Fort Myers, FL 33917-8004 - Phone
- (239) 519-0390
- Fax
- (888) 355-6796
- NPI assigned
- Oct 12, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3017434 | KY | |
| Family Nurse Practitioner | 363LF0000X | 31355 | TN | |
| Family Nurse Practitioner | 363LF0000X | APRN11003199 | FL | Primary |
| Registered Nurse | 163W00000X | 962458 | NY | |
| Family Nurse Practitioner | 363LF0000X | 26NJ15206400 | NJ | |
| Family Nurse Practitioner | 363LF0000X | 1155696 | TX | |
| Registered Nurse | 163W00000X | RN9430417 | FL | |
| Family Nurse Practitioner | 363LF0000X | 0024183542 | VA |
Addresses
Primary practice location
5660 Bayshore Rd Ste 42
North Fort Myers, FL 33917-8004
Mailing address
102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151
Other practice location 1
11121 SW 37th St
Miami, FL 33165-3579
Phone (786) 709-7389
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9430417 | FL | MD | Registered Nurse |
| 962458 | NY | MD | Registered Nurse |
| 31355 | TN | MD | Diagnostic Radiology Physician |
| APRN11003199 | FL | MD | Family Nurse Practitioner |
| 3017434 | KY | MD | Family Nurse Practitioner |
| 26NJ15206400 | NJ | MD | Family Nurse Practitioner |
| 1155696 | TX | MD | Family Nurse Practitioner |
| 0024183542 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meharry Health Network, PC | Current | Accepting new patients | |
| Guidewell Sanitas I, LLC | Current | Accepting new patients | |
| Clinica Hispana Lancaster LLC | Past | Accepting new patients | |
| Clinica Hispana Eben-Ezer LLC | Family | Past | Accepting new patients |
Locations
8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869
1313 SW 27th Ave
Miami, FL 33145
Phone (305) 642-2928
Interoperability endpoints
- adrian.reyes@wwmp.eclinicaldirectplus.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Doral, FL
- NPI 1396124046
-
- Family Nurse Practitioner
- Dallas, TX
- NPI 1932990272
-
- Nurse Practitioner
- Lancaster, TX
- NPI 1730921545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1295377166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 600",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372055250",
"telephone_number": "888-987-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5660 BAYSHORE RD STE 42",
"city": "NORTH FORT MYERS",
"state": "FL",
"postal_code": "339178004",
"telephone_number": "239-519-0390",
"fax_number": "888-355-6796"
}
],
"practiceLocations": [
{
"address_1": "11121 SW 37th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331653579",
"country_code": "US",
"telephone_number": "786-709-7389",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYES",
"first_name": "ADRIAN",
"middle_name": "RICARDO",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-12",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3017434",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "31355",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11003199",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "962458",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ15206400",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1155696",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9430417",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024183542",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.