Individual provider Active NPI

Andres Gomez, APRN

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1467092080
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005353 Issued in FL
Practice address
17269 NW 60TH CT # Ct511
Hialeah, FL 33015-4665
Phone
(786) 426-4761
NPI assigned
Jan 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X APRN11005353 FL
Family Nurse Practitioner 363LF0000X APRN11005353 FL Primary

Addresses

Primary practice location

17269 NW 60TH CT # Ct511
Hialeah, FL 33015-4665

Mailing address

17269 NW 60TH CT # Ct511
Hialeah, FL 33015-4665
Phone (786) 426-4761

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
I20230220000366 FL Practitioner - Nurse Practitioner 7911379094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nchmd IncGroup PAC ID 9436139565, 503 clinicians

Practice addresses (Care Compare)

40 S Heathwood Dr
Suite a
Marco Island, FL 34145-5026
Phone (239) 394-4846

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Estero, FL, CCN 108173
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd Inc CurrentSince Feb 7, 2023 Accepting new patients
Nchmd, Inc CurrentSince Feb 7, 2023 Accepting new patients

Locations

40 S Heathwood Dr
Bldg B
Marco Island, FL 34145
Phone (239) 624-8180

40 S Heathwood Dr
Ste A
Marco Island, FL 34145
Phone (239) 394-4846

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

7717 Collier Blvd
Unit 202
Naples, FL 34114
Phone (239) 624-8300

Networks

  • Freedom Health HMO Network

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1578700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1467092080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17269 NW 60TH CT # CT511",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154665",
            "telephone_number": "786-426-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17269 NW 60TH CT # CT511",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154665",
            "telephone_number": "786-426-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ANDRES",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-11",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "FL",
            "license": "APRN11005353",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.