Mi Dynamic Medical Group LLC
NPI 1700777224 · Psychiatric/Mental Health Nurse Practitioner · Cape Coral, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mi Dynamic Medical Group LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Cape Coral, FL (NPI 1700777224).
Provider details
- NPI number
- 1700777224
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ivette Dieguez, Aprn(239) 342-6516
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
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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 (1)
- 3901 Nw 79th Ave Ste 250Doral, FL 33166-6502Phone: (239) 342-6516Fax: (239) 374-8342
Registry dates
- Enumerated
- 2025-07-12
- Last updated
- 2026-01-27
- Certified
- 2026-01-27
Frequently asked questions
- What is Mi Dynamic Medical Group LLC's NPI number?
- Mi Dynamic Medical Group LLC's National Provider Identifier (NPI) is 1700777224, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mi Dynamic Medical Group LLC?
- Mi Dynamic Medical Group LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mi Dynamic Medical Group LLC located?
- Mi Dynamic Medical Group LLC's practice location on file with NPPES is 1222 Se 47th St Ste 201, Cape Coral, FL 33904-9602.
- What is Mi Dynamic Medical Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Mi Dynamic Medical Group LLC is (239) 342-6516.
- Does Mi Dynamic Medical Group LLC accept Medicare?
- Mi Dynamic Medical Group LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mi Dynamic Medical Group LLC?
- The authorized official listed on Mi Dynamic Medical Group LLC's NPPES record is Ivette Dieguez, Aprn. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mi Dynamic Medical Group LLC's NPI active?
- Yes — Mi Dynamic Medical Group LLC's NPI (1700777224) is active in the NPPES registry as of the last update on 2026-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.