Individual provider Active NPI

Ivonne Susana Gamboa, APRN

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1265020069
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11040633 Issued in FL
Practice address
3325 Forest Hill Blvd Ste a
West Palm Beach, FL 33406-5812
Phone
(561) 227-5597
Fax
(561) 249-6162
NPI assigned
Jan 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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 APRN11040633 FL Primary

Addresses

Primary practice location

3325 Forest Hill Blvd Ste a
West Palm Beach, FL 33406-5812

Mailing address

3325 Forest Hill Blvd Ste a
West Palm Beach, FL 33406-5812
Phone (561) 227-5597

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
I20250714004293 FL Practitioner - Nurse Practitioner 0749697035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soma Medical Center PA 8Group PAC ID 2567848427, 3 clinicians

Practice addresses (Care Compare)

3325 Forest Hill Blvd
Suite a
West Palm Beach, FL 33406-5812
Phone (561) 227-5597

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11040633FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hernando Pasco Primary Care LLC General Practice CurrentSince Mar 1, 2022 Accepting new patients
Soma Medical Center PA #8 CurrentSince Jul 10, 2025 Accepting new patients
The Medical Group of South Florida, Inc Past Accepting new patients

Locations

1094 Military Trl
Jupiter, FL 33458
Phone (561) 622-6111

3325 Forest Hill Blvd
Ste A
West Palm Beach, FL 33406
Phone (561) 227-5597

801 Northpoint Pkwy
Ste 95
West Palm Beach, FL 33407
Phone (561) 255-3131

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIBHCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIDHCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABBFCD

Organizations & group practices 3

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": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1265020069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 FOREST HILL BLVD STE A",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065812",
            "telephone_number": "561-227-5597",
            "fax_number": "561-249-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 FOREST HILL BLVD STE A",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065812",
            "telephone_number": "561-227-5597",
            "fax_number": "561-249-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBOA",
        "first_name": "IVONNE",
        "middle_name": "SUSANA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11040633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.