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

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: July 26, 2026.

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

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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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
Quality0
Improvement Activities0
Cost15.78

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.

Case Management
1469 NW 36TH ST
MIAMI, FL 33142
Case Manager/Care Coordinator
1469 NW 36TH ST
MIAMI, FL 33142
Psychiatry & Neurology (Psychiatry)
1469 NW 36TH ST
MIAMI, FL 33142
Registered Nurse
1469 NW 36TH ST
MIAMI, FL 33142
Case Manager/Care Coordinator
1469 NW 36TH ST
MIAMI, FL 33142
Case Manager/Care Coordinator
1469 NW 36TH ST
MIAMI, FL 33142
Case Management
1469 NW 36TH ST
MIAMI, FL 33142
Case Manager/Care Coordinator
1469 NW 36TH ST
MIAMI, FL 33142

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 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.

Where is Ernesto Guevara located?

Ernesto Guevara practices at 1469 NW 36th St, Miami, FL 33142. The listed phone number is (305) 635-7444.

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.

Is Ernesto Guevara enrolled in Medicare?

Yes. Ernesto Guevara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ernesto Guevara accept?

Health plans from AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Ernesto Guevara 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 Ernesto Guevara was last updated on May 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.