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: August 09, 2026.

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

About Premier Health Plus Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER HEALTH PLUS LLC (NPI 1043972102) is a healthcare organization registered as a primary care in Punta Gorda, Florida and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through January 23, 2028 and lists Jerry G Hernanadez, Owner, as its authorized official.

NPPES Registry Identity

NPI1043972102
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NamePREMIER HEALTH PLUS LLC
Location Address3691 TAMIAMI TRLPunta Gorda, FL 33950-7228
Mailing Address3691 Tamiami TrlPunta Gorda, FL 33950-7228 · (941) 347-8912
Organization SubpartNo
Authorized OfficialJerry G HernanadezOwner · (941) 347-8912
Enumeration DateOctober 6, 2021
Last NPPES UpdateJanuary 20, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2022
NPI 1043972102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
3691 TAMIAMI TRL, Punta Gorda, FL 33950

Other Identifiers 1

OtherAPRN9335689FL · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2249883

Premier Health Plus, LLC · Punta Gorda, FL
Active · expires Jan 23, 2028
CLIA Number10D2249883
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorJerry Hernandez
Laboratory Phone(941) 347-8912
Laboratory LocationPremier Health Plus, LLC3691 Tamiami Trail, Punta Gorda, FL 33950
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Health Plus LLC's NPI number?

The NPI number for Premier Health Plus LLC is 1043972102. It was assigned to this organization in the NPPES registry on October 6, 2021.

Where is Premier Health Plus LLC located?

Premier Health Plus LLC is located at 3691 Tamiami Trl, Punta Gorda, FL 33950. The listed phone number is (941) 347-8912.

What is Premier Health Plus LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Premier Health Plus LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2249883) is associated with this NPI, valid through January 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premier Health Plus LLC was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.