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IVAN GUERRERO MD PA
NPI 1053508184
Specialist in Jacksonville, FL

Active since October 03, 2007
6817 SOUTHPOINT PKWY, SUITE 502, JACKSONVILLE, FL 32216(904) 646-3017(904) 646-1501 Get Directions Write a Review

NPPES record last updated: May 21, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ivan Guerrero Md Pa NPPES

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

IVAN GUERRERO MD PA (NPI 1053508184) is a healthcare organization registered as a specialist in Jacksonville, Florida and active in the NPI registry since October 2007. The organization lists Ivan A Guerrero, President, as its authorized official.

NPPES Registry Identity

NPI1053508184
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameIVAN GUERRERO MD PA
Location Address6817 SOUTHPOINT PKWY, SUITE 502Jacksonville, FL 32216-6282
Mailing AddressPo Box 551272Jacksonville, FL 32255-1272 · (904) 646-3017 · Fax (904) 646-1501
Phone(904) 646-3017
Fax(904) 646-1501
Organization SubpartNo
Authorized OfficialIvan A GuerreroPresident · (904) 646-1987
Enumeration DateOctober 3, 2007
Last NPPES UpdateMay 21, 2015
✔ NPI 1053508184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME82361
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6817 SOUTHPOINT PKWY, Jacksonville, FL 32216
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Other Identifiers 2

Medicaid000802800FL
Medicare PINAH113FL

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivan Guerrero Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Ivan Guerrero MD PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Yesenia Baez
Nurse Practitioner
NPI 1770724726
6817 SOUTHPOINT PKWY STE 802
Jacksonville, FL 32216
(904) 646-1987
✔ PECOS✔ Accepts MedicareSame address
Ivan Guerrero, MD
Infectious Disease
NPI 1326016536
6817 SOUTHPOINT PKWY STE 802
Jacksonville, FL 32216
(904) 646-1987
✔ PECOS✔ Accepts MedicareSame address
Jennifer Mcneal, APRN
Nurse Practitioner
NPI 1326671371
6817 SOUTHPOINT PKWY STE 802
Jacksonville, FL 32216
(904) 646-1987
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ivan Guerrero MD PA's NPI number?

The NPI number for Ivan Guerrero MD PA is 1053508184. It was assigned to this organization in the NPPES registry on October 3, 2007.

Where is Ivan Guerrero MD PA located?

Ivan Guerrero MD PA is located at 6817 Southpoint Pkwy Suite 502, Jacksonville, FL 32216. The listed phone number is (904) 646-3017.

What is Ivan Guerrero MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Ivan Guerrero MD PA enrolled in Medicare?

Yes. Ivan Guerrero MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ivan Guerrero MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Ivan Guerrero MD PA, in Infectious Disease and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ivan Guerrero MD PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Ivan Guerrero MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivan Guerrero MD PA was last updated on May 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.