MI DYNAMIC MEDICAL GROUP LLC
NPI 1700777224
Nurse Practitioner - Psychiatric/Mental Health in Cape Coral, FL

Q: What is Mi Dynamic Medical Group LLC's NPI number?

The NPI number for Mi Dynamic Medical Group LLC is 1700777224. It was assigned to this organization in the NPPES registry on July 12, 2025.

Q: What is Mi Dynamic Medical Group LLC's specialty?

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

Active since July 12, 2025

1222 SE 47TH ST STE 201, CAPE CORAL, FL 33904(239) 342-6516(239) 374-8342 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 27, 2026, Sep 12, 2025, Jul 12, 2025 (3 updates tracked since 2025).

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About Mi Dynamic Medical Group Llc NPPES

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

MI DYNAMIC MEDICAL GROUP LLC (NPI 1700777224) is a healthcare organization registered as a psychiatric/mental health in Cape Coral, Florida and active in the NPI registry since July 2025. The organization maintains a secondary practice location in Doral and lists Ivette Dieguez, Aprn, as its authorized official.

NPPES Registry Identity

NPI1700777224

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMI DYNAMIC MEDICAL GROUP LLC

Location Address1222 SE 47TH ST STE 201Cape Coral, FL 33904-9602

Mailing Address1222 Se 47th St Ste 201Cape Coral, FL 33904-9602 · (239) 342-6516 · Fax (239) 374-8342

Phone(239) 342-6516

Fax(239) 374-8342

Organization SubpartNo

Authorized OfficialIvette DieguezAprn · (239) 342-6516

Enumeration DateJuly 12, 2025

Last NPPES UpdateJanuary 27, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2026

✔ NPI 1700777224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0808X

1222 SE 47TH ST STE 201, Cape Coral, FL 33904

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Secondary Practice Location 1

Location 13901 NW 79th Ave Ste 250Doral, FL 33166-6502 · Phone (239) 342-6516 · Fax (239) 374-8342

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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)

Mi Dynamic Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mi Dynamic Medical Group LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Maylin Rodriguez Fernandez, APRN

Nurse Practitioner

NPI 1528744950

12590 WHITEHALL DR STE 3
Fort Myers, FL 33907

(239) 939-9090

✔ PECOS✔ Accepts Medicare4.2 mi

Ivette Dieguez, APRN

Nurse Practitioner

NPI 1174154926

9712 SW 132ND PL
Miami, FL 33186

(786) 800-4563

✔ PECOS✔ Accepts Medicare113 mi

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 Mi Dynamic Medical Group LLC's NPI number?

The NPI number for Mi Dynamic Medical Group LLC is 1700777224. It was assigned to this organization in the NPPES registry on July 12, 2025.

Where is Mi Dynamic Medical Group LLC located?

Mi Dynamic Medical Group LLC is located at 1222 SE 47th St Ste 201, Cape Coral, FL 33904. The listed phone number is (239) 342-6516.

What is Mi Dynamic Medical Group LLC's specialty?

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

Is Mi Dynamic Medical Group LLC enrolled in Medicare?

Yes. Mi Dynamic Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mi Dynamic Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mi Dynamic Medical Group LLC. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mi Dynamic Medical Group LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Mi Dynamic Medical Group LLC 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 Mi Dynamic Medical Group LLC was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.