Individual provider Active NPI

Adrian Ricardo Reyes, APRN

  • Family Nurse Practitioner
  • North Fort Myers, FL
National Provider Identifier
1295377166
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11003199 Issued in FL
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

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200806003268 FL Practitioner - Nurse Practitioner 0941625966 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9430417FLMDRegistered Nurse
962458NYMDRegistered Nurse
31355TNMDDiagnostic Radiology Physician
APRN11003199FLMDFamily Nurse Practitioner
3017434KYMDFamily Nurse Practitioner
26NJ15206400NJMDFamily Nurse Practitioner
1155696TXMDFamily Nurse Practitioner
0024183542VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meharry Health Network, PC CurrentSince Jul 1, 2023 Accepting new patients
Guidewell Sanitas I, LLC CurrentSince Mar 27, 2020 Accepting new patients
Clinica Hispana Lancaster LLC Past Accepting new patients
Clinica Hispana Eben-Ezer LLC Family PastSince May 18, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.