Organization Active NPI

Primecare Health Group LLC

  • Primary Care Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1871394155
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
PRIMECARE HEALTH GROUP LLC
Practice address
15050 Elderberry LN Ste 6-10
Fort Myers, FL 33907-8504
Phone
(239) 537-1260
Fax
(239) 790-5073
NPI assigned
Mar 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Jimi Williamceau, APRNNPI 1902631948
Title
Member
Phone
(239) 537-1260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

15050 Elderberry LN Ste 6-10
Fort Myers, FL 33907-8504

Mailing address

15050 Elderberry LN Ste 6-10
Fort Myers, FL 33907-8504
Phone (239) 537-1260

National Provider Directory

National Provider Directory

Locations

15050 Elderberry Ln
Ste 610
Fort Myers, FL 33907
Phone (239) 354-7227

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1871394155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15050 ELDERBERRY LN STE 6-10",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339078504",
            "telephone_number": "239-537-1260",
            "fax_number": "239-790-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15050 ELDERBERRY LN STE 6-10",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339078504",
            "telephone_number": "239-537-1260",
            "fax_number": "239-790-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMCEAU",
        "authorized_official_first_name": "JIMI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "239-537-1260",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.