1. Home
  2. Directory
  3. Florida
  4. Fort Myers
  5. Nurse Practitioner
  6. NPI Profile

PINNACLE PROVIDER GROUP LLC
NPI 1497646285
Nurse Practitioner - Primary Care in Fort Myers, FL

Active since July 10, 2025CLIA 10D2333026 · Waiver
15050 ELDERBERRY LN, FORT MYERS, FL 33907(239) 537-1260 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pinnacle Provider Group Llc NPPES

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

PINNACLE PROVIDER GROUP LLC (NPI 1497646285) is a healthcare organization registered as a primary care in Fort Myers, Florida and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through October 28, 2027 and lists Jimi Williamceau, Owner, as its authorized official.

NPPES Registry Identity

NPI1497646285
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NamePINNACLE PROVIDER GROUP LLC
Location Address15050 ELDERBERRY LNFort Myers, FL 33907-8504
Mailing Address15050 Elderberry LnFort Myers, FL 33907-8504 · (239) 537-1260
Phone(239) 537-1260
Organization SubpartNo
Authorized OfficialJimi WilliamceauOwner · (239) 537-1260
Enumeration DateJuly 10, 2025
NPPES CertifiedJuly 10, 2025
✔ NPI 1497646285 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
15050 ELDERBERRY LN, Fort Myers, FL 33907
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 10D2333026

Pinnacle Provider Group LLC · Fort Myers, FL
Active · expires Oct 28, 2027
CLIA Number10D2333026
Laboratory TypeMobile Laboratory
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorJimi Williamceau
Laboratory Phone(239) 537-1260
Laboratory LocationPinnacle Provider Group LLC15050 Elderberry Ln, Suite 6-10, Fort Myers, FL 33907
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

MRS. EDITH TRAFFORD M.S. CCC-SLP
Speech-Language Pathologist
15050 ELDERBERRY LN
FORT MYERS, FL 33907
Lee County (508) 269-0252
JAYME KAPLAN
Speech-Language Pathologist
15050 ELDERBERRY LN
FORT MYERS, FL 33907
Lee County (508) 269-0252
AFFORDABLE HOME CARE LLC
In Home Supportive Care
15050 ELDERBERRY LN
FORT MYERS, FL 33907
Lee County (239) 228-8043
VANESSA NANK
Psychologist (School)
15050 ELDERBERRY LN
FORT MYERS, FL 33907
Lee County (239) 610-1552
DR. ANDREW MARK NOVICK DO
Psychiatry & Neurology (Neurology)
15050 ELDERBERRY LN
FORT MYERS, FL 33907
Lee County (866) 785-7769
LIVING HAPPILY, LLC
Social Worker (Clinical)
15050 ELDERBERRY LN, 4-3
FORT MYERS, FL 33907
Lee County (239) 208-2217
ALLISON GLORIOSO LMHC, NCC
Counselor (Mental Health)
15050 ELDERBERRY LN, SUITE 4
FORT MYERS, FL 33907
Lee County (239) 789-8464
LISA HAMNER CCC-SLP
Speech-Language Pathologist
15050 ELDERBERRY LN
FORT MYERS, FL 33907
Lee County (239) 671-7215

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 Pinnacle Provider Group LLC's NPI number?

The NPI number for Pinnacle Provider Group LLC is 1497646285. It was assigned to this organization in the NPPES registry on July 10, 2025.

Where is Pinnacle Provider Group LLC located?

Pinnacle Provider Group LLC is located at 15050 Elderberry Ln, Fort Myers, FL 33907. The listed phone number is (239) 537-1260.

What is Pinnacle Provider Group LLC's specialty?

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

Does Pinnacle Provider Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2333026) is associated with this NPI, valid through October 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pinnacle Provider Group LLC was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.