Individual provider Active NPI

Nevada Gallego, PA-C

  • Physician Assistant
  • Aventura, FL
National Provider Identifier
1295327914
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
18801 NE 29TH Ave
Aventura, FL 33180-2826
Phone
(754) 544-9030
Fax
(754) 241-2981
NPI assigned
Feb 4, 2021
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

18801 NE 29TH Ave
Aventura, FL 33180-2826

Mailing address

18801 NE 29TH Ave
Aventura, FL 33180-2826
Phone (754) 544-9030

Other names 1

  • Nevada Norris Former name

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
I20220218000706 FL Practitioner - Physician Assistant 9234523150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Carolina School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Group of Florida, P.a.Group PAC ID 1153367107, 54 clinicians

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111

18801 NE 29TH Ave
M202
Aventura, FL 33180-2826
Phone (754) 544-9030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Group of Florida PA CurrentSince Sep 21, 2025 Accepting new patients

Locations

18801 NE 29th Ave
Aventura, FL 33180
Phone (754) 544-9030

4000 Hollywood Blvd
Ste 215S
Hollywood, FL 33021
Phone (954) 807-9332

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1295327914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18801 NE 29TH AVE",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802826",
            "telephone_number": "754-544-9030",
            "fax_number": "754-241-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18801 NE 29TH AVE",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802826",
            "telephone_number": "754-544-9030",
            "fax_number": "754-241-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGO",
        "first_name": "NEVADA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEVADA",
            "last_name": "NORRIS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.