Individual provider Active NPI

Kemeelyt Cobie Garcia, APRN

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1912636366
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11020060 Issued in FL
Practice address
3571 Del Prado Blvd N Ste 2
Cape Coral, FL 33909-5287
Phone
(239) 656-6300
Fax
(239) 656-6765
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9489606 FL
Family Nurse Practitioner 363LF0000X APRN11020060 FL Primary

Addresses

Primary practice location

3571 Del Prado Blvd N Ste 2
Cape Coral, FL 33909-5287

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other practice location 1

428 Del Prado Blvd N Ste 103
Cape Coral, FL 33909-2210
Phone (239) 351-2044

Other practice location 2

9400 Gladiolus Dr Ste 50
Fort Myers, FL 33908-9615
Phone (239) 437-7070

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
I20220921000075 FL Practitioner - Nurse Practitioner 0941685374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

9400 Gladiolus Dr
Suite 50
Fort Myers, FL 33908-9615
Phone (239) 437-7070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9489606FLMDRegistered Nurse
APRN11020060FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Oct 1, 2022 Accepting new patients
B&H Health Services Inc Family CurrentSince Jun 1, 2022 Accepting new patients
Brainhealth MD LLC CurrentSince Jun 1, 2024 Accepting new patients
Millennium Physician Group LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

428 Del Prado Blvd N
Ste 103
Cape Coral, FL 33909
Phone (239) 351-2044

3571 Del Prado Blvd N
Ste 2
Cape Coral, FL 33909
Phone (239) 656-6300

9400 Gladiolus Dr
Ste 50
Fort Myers, FL 33908
Phone (239) 437-7070

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

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": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1912636366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3571 DEL PRADO BLVD N STE 2",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339095287",
            "telephone_number": "239-656-6300",
            "fax_number": "239-656-6765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "428 Del Prado Blvd N Ste 103",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339092210",
            "country_code": "US",
            "telephone_number": "239-351-2044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9400 Gladiolus Dr Ste 50",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339089615",
            "country_code": "US",
            "telephone_number": "239-437-7070",
            "fax_number": "239-437-9022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "KEMEELYT",
        "middle_name": "COBIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9489606",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11020060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.