Guillermo Chang Licea, APRN
NPI 1568108546 · Family Nurse Practitioner · Lehigh Acres, FL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Guillermo Chang Licea, APRN is a Family Nurse Practitioner provider in Lehigh Acres, FL (NPI 1568108546).
Provider details
- NPI number
- 1568108546
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11018690 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 3049 Cleveland Ave Ste 110Fort Myers, FL 33901-7049Phone: (239) 332-0407Fax: (239) 332-0404
- 214 S 1st St Unit AbImmokalee, FL 34142-3950Phone: (239) 867-4568Fax: (239) 307-2983
Registry dates
- Enumerated
- 2022-05-11
- Last updated
- 2025-01-08
- Certified
- 2025-01-08
Frequently asked questions
- What is Guillermo Chang Licea's NPI number?
- Guillermo Chang Licea's National Provider Identifier (NPI) is 1568108546, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Guillermo Chang Licea's specialty?
- Guillermo Chang Licea is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Guillermo Chang Licea located?
- Guillermo Chang Licea's practice location on file with NPPES is 2718 Lee Blvd Ste B, Lehigh Acres, FL 33971-1537.
- What is Guillermo Chang Licea's phone number?
- The practice phone number listed in the NPPES registry for Guillermo Chang Licea is (239) 288-0840.
- Does Guillermo Chang Licea accept Medicare?
- Guillermo Chang Licea is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Guillermo Chang Licea's NPI active?
- Yes — Guillermo Chang Licea's NPI (1568108546) is active in the NPPES registry as of the last update on 2025-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.