NPIMap

Individual provider Active NPI

Jimi Williamceau

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1902631948
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11035145 Issued in FL
Practice address
9380 Los Alisos Way
Fort Myers, FL 33908-9651
Phone
(239) 537-1260
NPI assigned
Sep 6, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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 APRN11035145 FL Primary

Addresses

Primary practice location

9380 Los Alisos Way
Fort Myers, FL 33908-9651

Mailing address

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

Other practice location 1

10150 Highland Manor Dr Ste 205
Tampa, FL 33610-9727
Phone (813) 259-1013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241231003517 FL Practitioner - Nurse Practitioner 5890222970 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bluestone Physician Services Southeast LLCGroup PAC ID 9739086257, 25 clinicians
Quantum Practitioner Services LLCGroup PAC ID 7214392810, 31 clinicians

Practice addresses (Care Compare)

10150 Highland Manor Dr
Suite 205
Tampa, FL 33610-9727
Phone (813) 259-1013

6547 Kenava Loop
Palmetto, FL 34221-2595
Phone (941) 218-0175

Hospital & facility affiliations

  • Pinnacle Home Care Home health agency, Fort Myers, FL, CCN 683113
  • Haven Home Health Care Home health agency, Venice, FL, CCN 687116
  • Aveanna Home Health Home health agency, Sarasota, FL, CCN 108480
  • Centerwell Home Health Home health agency, Port Charlotte, FL, CCN 107547
  • Pinnacle Home Care of the Villages Inc Home health agency, The Villages, FL, CCN 109702

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestone Physician Services Southeast LLC CurrentSince Jan 12, 2026 Accepting new patients
Quantum Practitioner Services LLC Family CurrentSince Dec 1, 2024 Accepting new patients
Pinnacle Provider Group LLC CurrentSince Oct 2, 2025 Accepting new patients
Affordable Home Care LLC Current Accepting new patients
Primecare Health Group LLC Current Accepting new patients
Bluestone Physician Services Southeast LLC CurrentSince Jan 12, 2026 Accepting new patients

Locations

15050 Elderberry Ln
Unit 610
Fort Myers, FL 33907

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

15050 Elderberry Ln
Fort Myers, FL 33907
Phone (239) 610-1552

10150 Highland Manor Dr
Ste 205
Tampa, FL 33610
Phone (813) 259-1013

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGAAED/Endpoint/GGAAED

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1902631948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15050 ELDERBERRY LN UNIT 6-10",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339078504",
            "telephone_number": "239-537-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9380 LOS ALISOS WAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339089651",
            "telephone_number": "239-537-1260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10150 Highland Manor Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336109727",
            "country_code": "US",
            "telephone_number": "813-259-1013",
            "fax_number": "813-254-0396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMCEAU",
        "first_name": "JIMI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-06",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11035145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.