Individual provider Active NPI

Mercedes Gomez, APRN

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1821553843
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11001294 Issued in FL
Practice address
777 E 25TH St Ste 419
Hialeah, FL 33013-3835
Phone
(305) 677-9519
Fax
(786) 375-5397
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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 APRN11001294 FL Primary

Addresses

Primary practice location

777 E 25TH St Ste 419
Hialeah, FL 33013-3835

Mailing address

777 E 25TH St Ste 419
Hialeah, FL 33013-3835
Phone (305) 677-9519

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
I20200306000507 FL Practitioner - Nurse Practitioner 4284802687 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valmer Medical Office, Corp CurrentSince Jan 5, 2011 Accepting new patients

Locations

777 E 25th St
Ste 419
Hialeah, FL 33013
Phone (305) 677-9519

Organizations & group practices 1

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": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1821553843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 419",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133835",
            "telephone_number": "305-677-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 419",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133835",
            "telephone_number": "305-677-9519",
            "fax_number": "786-375-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "MERCEDES",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.