Individual provider Active NPI

Gissy L Suarez

  • Gerontology Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1013687771
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
11015376 Issued in FL
Practice address
3918 N Highland Ave
Tampa, FL 33603-4724
Phone
(727) 321-3854
Fax
(727) 327-7670
NPI assigned
Sep 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 11015376 FL Primary

Addresses

Primary practice location

3918 N Highland Ave
Tampa, FL 33603-4724

Mailing address

701 94TH Ave N Ste 250
Saint Petersburg, FL 33702-2448
Phone (727) 321-3854

Other identifiers 2

IdentifierTypeStateIssuer
113780500MedicaidFL
11015376OtherFLARNP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220830003729 FL Practitioner - Nurse Practitioner 6204210958 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Charities IncGroup PAC ID 2163668286, 17 clinicians

Practice addresses (Care Compare)

3918 N Highland Ave
Tampa, FL 33603-4724
Phone (727) 321-3854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11015376FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Charities Inc CurrentSince Jan 6, 2025 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Dec 1, 2022 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Dec 1, 2022 Accepting new patients
Florida Pain Relief Group PLLC CurrentSince Jun 10, 2024 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC Current Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste B270
Boynton Beach, FL 33437
Phone (561) 853-1001

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

7050 Ulmerton Rd
Largo, FL 33771
Phone (727) 777-4540

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

3251 3rd Ave N
Rm 125
St Petersburg, FL 33713
Phone (727) 321-2527

701 94th Ave N
Ste 250
St Petersburg, FL 33702

3918 N Highland Ave
Tampa, FL 33603
Phone 72732138541025

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

1315 E 7th Ave
Tampa, FL 33605
Phone (813) 232-3808

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBGDBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HBGDBD/Endpoint/HBGDBD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1013687771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 94TH AVE N STE 250",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337022448",
            "telephone_number": "727-321-3854",
            "fax_number": "727-327-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 N HIGHLAND AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336034724",
            "telephone_number": "727-321-3854",
            "fax_number": "727-327-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "GISSY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11015376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113780500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP",
            "identifier": "11015376",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.