Individual provider Active NPI

Jennifer Guerra, NP

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1679957153
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11024447 Issued in FL
Practice address
1826 Boy Scout Dr
Fort Myers, FL 33907-2113
Phone
(239) 482-3022
NPI assigned
Jul 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X RN271339 MA
Nurse Practitioner 363L00000X RN271339 MA
Family Nurse Practitioner 363LF0000X APRN11024447 FL Primary

Addresses

Primary practice location

1826 Boy Scout Dr
Fort Myers, FL 33907-2113

Mailing address

1826 Boy Scout Dr
Fort Myers, FL 33907-2113
Phone (239) 482-3022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151006002961 MA Practitioner - Nurse Practitioner 6002124385 Reassigns benefits to 4 organizations
I20240108005278 FL Practitioner - Nurse Practitioner 6002124385

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ecs Wellness, IncGroup PAC ID 1153653027, 5 clinicians

Practice addresses (Care Compare)

84 Highland Ave
Suite 311
Salem, MA 01970-2733
Phone (617) 910-8975

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as group
Quality
88.12
Promoting interoperability
71
Improvement activities
40
Cost
77.69

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as group
Quality
70.13
Promoting interoperability
100
Improvement activities
40
Cost
75.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN271339MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Healthcare Medical Group Inc CurrentSince Jul 20, 2015 Accepting new patients
South Shore Medical Center, Inc. CurrentSince Sep 26, 2018 Accepting new patients
Coastal Medical Associates CurrentSince Nov 1, 2017 Accepting new patients
Hickory Care LLC CurrentSince Sep 1, 2025 Accepting new patients
Ecs Wellness, Inc CurrentSince Mar 20, 2025 Accepting new patients

Locations

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

110 Liberty St
Brockton, MA 02301

110 Liberty St
Ste 2C
Brockton, MA 02301

110 Liberty St
Ste 2A
Brockton, MA 02301
Phone (508) 894-0766

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

143 Longwater Dr
Norwell, MA 02061
Phone (781) 792-4136

84 Highland Ave
Ste 311
Salem, MA 01970
Phone (617) 910-8975

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

55 Fogg Rd
#81
Weymouth, MA 02190

Interoperability endpoints

  • Direct secure messaging: jennifer.guerra@direct.signature.masshiway.net

Organizations & group practices 5

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": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1679957153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 BOY SCOUT DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072113",
            "telephone_number": "239-482-3022",
            "fax_number": "239-482-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 BOY SCOUT DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072113",
            "telephone_number": "239-482-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "RN271339",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN271339",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.