ERNESTO GUEVARA NP
NPI 1093342818
Nurse Practitioner - Psychiatric/Mental Health in Miami, FL

Q: What is Ernesto Guevara's NPI number?

The NPI number for Ernesto Guevara is 1093342818. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Q: What is Ernesto Guevara's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Ernesto Guevara was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 23, 2020PECOS EnrolledAccepts Medicare Assignment

4.73/100

CMS Quality Rating

1469 NW 36TH ST, MIAMI, FL 33142(305) 635-7444 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2023, Aug 2, 2022, Oct 2, 2020 and 1 more (4 updates tracked since 2020).

On this page

About Ernesto Guevara Np NPPES

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

ERNESTO GUEVARA NP (NPI 1093342818) is an individual psychiatric/mental health provider in Miami, Florida, licensed in Florida (APRN11006442) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1093342818

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameERNESTO GUEVARACredential: NP

Location Address1469 NW 36TH STMiami, FL 33142-5557

Mailing Address14113 Sw 161st CtMiami, FL 33196-6543 · (786) 366-2050

Phone(305) 635-7444

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 23, 2020

Last NPPES UpdateMay 19, 20234 updates tracked since enumeration

NPPES CertifiedMay 19, 2023

✔ NPI 1093342818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · APRN11006442

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11006442 (FL)

1469 NW 36TH ST, Miami, FL 33142

Open in Google Maps ↗

Secondary Practice Locations 2

Location 17171 SW 62nd AveSouth Miami, FL 33143-4723 · Phone (786) 366-2050

Location 24180 SW 74th CtMiami, FL 33155-4443 · Phone (786) 355-2050

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ernesto Guevara Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890115505

PECOS Enrollment IDI20201019003232

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Ernesto Guevara reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Horizons Community Mental Health Center, Inc

Same address

Mental Health (Including Community Mental Health Center)

1469 NW 36TH ST
Miami, FL 33142

Reassigned Medicare billing, Florida enrollment
8 clinicians in this Medicare group

NPI 1952360620 (305) 635-7444

Excellence Care Florida LLC

9.9 mi

Community Health

4005 NW 114TH AVE UNIT 22
Doral, FL 33178

Reassigned Medicare billing, Florida enrollment
12 clinicians in this Medicare group

NPI 1013684992 (786) 366-2050

Bg Health Group LLC

9.9 mi

Primary Care

4005 NW 114TH AVE UNIT 22A
Doral, FL 33178

Reassigned Medicare billing, Florida enrollment
6 clinicians in this Medicare group

NPI 1184449340 (305) 260-6913

Psychemend Florida PA

11 mi

Psychiatric/Mental Health

8870 SW 92ND CT
Miami, FL 33176

Reassigned Medicare billing, Florida enrollment
5 clinicians in this Medicare group

NPI 1568239622 (786) 247-2717

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

501 services171 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

57 services50 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

18 services18 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33142 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

4.73/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

15.78

Other Providers at the Same Location NPPES 20

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

NEW HORIZONS CMHC

Case Management