PREMIER HEALTH PLUS LLC
NPI 1043972102
Nurse Practitioner - Primary Care in Punta Gorda, FL

Active since October 06, 2021CLIA 10D2249883 · Waiver
3691 TAMIAMI TRL, PUNTA GORDA, FL 33950(941) 347-8912 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 20, 2022, Oct 6, 2021 (2 updates tracked since 2021).

  • Organization
  • Nurse Practitioner
  • Primary Care
  • CLIA Number: 10D2249883
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-23-2028

About PREMIER HEALTH PLUS LLC

This page provides the complete NPI Profile along with additional information for Premier Health Plus Llc, a provider established in Punta Gorda, Florida operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1043972102 assigned on October 2021. The practitioner's primary taxonomy code is 363LP2300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jerry G Hernanadez Aprn (Owner)

NPI
1043972102 Verify this NPI
Provider Name
PREMIER HEALTH PLUS LLC
Entity Type
Organization
Location Address
3691 TAMIAMI TRL PUNTA GORDA, FL 33950
Location Phone
(941) 347-8912
Mailing Address
3691 TAMIAMI TRL PUNTA GORDA, FL 33950
Mailing Phone
(941) 347-8912
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-06-2021
Last Update Date
01-20-2022
Code Navigator

A nurse practitioner (NP) like Premier Health Plus Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JERRY G HERNANADEZ APRN

Authorized Official Title
OWNER
Authorized Official Phone
(941) 347-8912

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
APRN9335689OTHER (01)FLLICENSE

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2249883
Facility Type
Physician Office
Certificate Effective Date
January 24, 2026
Certificate Expiration Date
January 23, 2028
Laboratory Director
JERRY HERNANDEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Premier Health Plus Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PREMIER HEALTH PLUS LLC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner
3691 TAMIAMI TRL
PUNTA GORDA, FL 33950
Nurse Practitioner (Family)
3691 TAMIAMI TRL
PUNTA GORDA, FL 33950

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043972102, enumerated as an "organization" on October 06, 2021.

The provider is located at 3691 TAMIAMI TRL PUNTA GORDA, FL 33950 and the phone number is (941) 347-8912.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.