Individual provider Active NPI

Raciel Gomez Rodriguez

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1205203254
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9403991 Issued in FL
Practice address
5282 Golden Gate Pkwy Ste C
Naples, FL 34116-7649
Phone
(239) 880-2680
Fax
(239) 880-2655
NPI assigned
Aug 25, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9403991 FL Primary

Addresses

Primary practice location

5282 Golden Gate Pkwy Ste C
Naples, FL 34116-7649

Mailing address

5282 Golden Gate Pkwy Ste C
Naples, FL 34116-7649
Phone (239) 880-2680

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
I20170503001476 FL Practitioner - Nurse Practitioner 7719264571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5282 Golden Gate Pkwy
Suite C
Naples, FL 34116-7649
Phone (239) 880-2680

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9403991FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allstate Health Services Inc Family CurrentSince Jun 1, 2020 Accepting new patients

Locations

5282 Golden Gate Pkwy
Ste C
Naples, FL 34116
Phone (239) 467-6051

Interoperability endpoints

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

Organizations & group practices 2

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": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1205203254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5282 GOLDEN GATE PKWY STE C",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167649",
            "telephone_number": "239-880-2680",
            "fax_number": "239-880-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 GOLDEN GATE PKWY STE C",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167649",
            "telephone_number": "239-880-2680",
            "fax_number": "239-880-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ RODRIGUEZ",
        "first_name": "RACIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9403991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.