Individual provider Active NPI

Lester Fornet, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1972211753
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11022908 Issued in FL
Practice address
9195 SW 72ND Street
Suite 200
Miami, FL 33173
Phone
(786) 591-1313
Fax
(305) 774-5645
NPI assigned
Nov 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 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 APRN11022908 FL Primary

Addresses

Primary practice location

9195 SW 72ND Street
Suite 200
Miami, FL 33173

Mailing address

5101 SW 8TH Street
Suite 200
Coral Gables, FL 33134-2442
Phone (305) 359-5037

Other identifiers 1

IdentifierTypeStateIssuer
116308600MedicaidFL

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
I20221125000295 FL Practitioner - Nurse Practitioner 7113395062 Reassigns benefits to 2 organizations

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
Gastromed LLCGroup PAC ID 2365574621, 38 clinicians

Practice addresses (Care Compare)

5101 SW 8 St
Miami, FL 33134-2442
Phone (305) 461-1881

5101 SW 8TH St
Suite 200
Coral Gables, FL 33134-2442

9195 SW 72ND St
Suite 200
Miami, FL 33173-3488
Phone (305) 359-5037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11022908FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Community Healthcare Group Inc CurrentSince Apr 13, 2024 Accepting new patients
Gastromed, LLC CurrentSince Feb 17, 2025 Accepting new patients
Premier Community Healthcare Group, Inc. CurrentSince Apr 13, 2024 Accepting new patients

Locations

5101 SW 8th St
Ste 200
Coral Gables, FL 33134
Phone (305) 262-6060

5101 SW 8th St
Coral Gables, FL 33134
Phone (305) 441-1570

14027 5th St
Dade City, FL 33525
Phone (813) 782-6064

9195 SW 72nd St
Ste 200
Miami, FL 33173
Phone (305) 662-7234

Organizations & group practices 3

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": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1972211753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 SW 8TH STREET",
            "address_2": "SUITE 200",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342442",
            "telephone_number": "305-359-5037",
            "fax_number": "786-509-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9195 SW 72ND STREET",
            "address_2": "SUITE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33173",
            "telephone_number": "786-591-1313",
            "fax_number": "305-774-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNET",
        "first_name": "LESTER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-09",
        "last_updated": "2025-02-19",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11022908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116308600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.