Individual provider Active NPI

Yoandris Rosales, ARNP

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1851906804
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009164 Issued in FL
Practice address
11600 Gladiolus Dr Ste C17
Fort Myers, FL 33908-4567
Phone
(239) 790-2488
Fax
(239) 790-2490
NPI assigned
Sep 15, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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 11009164 FL Primary

Addresses

Primary practice location

11600 Gladiolus Dr Ste C17
Fort Myers, FL 33908-4567

Mailing address

11600 Gladiolus Dr Ste C17
Fort Myers, FL 33908-4567
Phone (239) 790-2488

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
I20240731000914 FL Practitioner - Nurse Practitioner 6103363841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dedicated Senior Medical Center of Florida, LLCGroup PAC ID 4486932100, 56 clinicians

Practice addresses (Care Compare)

11600 Gladiolus Dr
Suite C17
Fort Myers, FL 33908-4567
Phone (239) 790-2488

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11009164FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jul 1, 2025 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

11600 Gladiolus Dr
Ste C17
Fort Myers, FL 33908
Phone (239) 790-2488

4650 S Cleveland Ave
Ste 15A
Fort Myers, FL 33907
Phone (239) 689-7411

4998 10th Ave N
Greenacres, FL 33463
Phone (305) 965-4997

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1851906804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 GLADIOLUS DR STE C17",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084567",
            "telephone_number": "239-790-2488",
            "fax_number": "239-790-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 GLADIOLUS DR STE C17",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084567",
            "telephone_number": "239-790-2488",
            "fax_number": "239-790-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "YOANDRIS",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-15",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.