NPIMap

Individual provider Active NPI

Jessica Lopez Gomez, CRNA

  • Certified Registered Nurse Anesthetist
  • Miami, FL
National Provider Identifier
1932184207
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP3419462 Issued in FL
Practice address
7600 SW 87TH Ave
Miami, FL 33173-3601
Phone
(786) 235-3750
NPI assigned
Dec 9, 2005
Last updated
Jul 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP3419462 FL Primary

Addresses

Primary practice location

7600 SW 87TH Ave
Miami, FL 33173-3601

Mailing address

9500 S Dadeland Blvd
Suite 802
Miami, FL 33156-2824
Phone (305) 468-4180

Other identifiers 2

IdentifierTypeStateIssuer
306202300MedicaidFL
G3485OtherFLBCBS

Other names 1

  • Jessica Marie Lopez Gomez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624000562 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850377656 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Greater Miami, PAGroup PAC ID 5294633954, 111 clinicians

Practice addresses (Care Compare)

6200 SW 73Rd St
South Miami Hospital
South Maimi, FL 33143-4679
Phone (786) 596-6557

7600 SW 87 Ave
100 Galloway Sur Ctr
Miami, FL 33173-3635
Phone (786) 235-3750

9333 SW 152ND St
Palmetto Bay, FL 33157-1778
Phone (305) 251-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as group
Quality
72.99
Promoting interoperability
82
Improvement activities
40
Cost
78.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Physician Solutions of South Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 13, 2014 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince May 15, 2017 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 13, 2014 Accepting new patients
Gulfstream Anesthesia Group LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2008 Accepting new patients
DRS. Ellis, Rojas, Ross & Debs, Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 29, 2004 Accepting new patients
Galloway Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2014 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 13, 2014 Accepting new patients
Anesthesia Associates of Greater Miami, PA CurrentSince Apr 28, 2019 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Oct 13, 2014 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Galloway Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2014 Accepting new patients
DRS. Ellis, Rojas, Ross & Debs, Inc. CurrentSince Mar 29, 2004 Accepting new patients
Miami Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2016 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince May 15, 2017 Accepting new patients

Locations

4425 Ponce de Leon Blvd
Ste 110
Coral Gables, FL 33146
Phone (305) 446-4673

135 W 49th St
Hialeah, FL 33012
Phone (305) 825-0500

2140 W 68th St
Ste 102
Hialeah, FL 33016
Phone (305) 822-4107

2140 W 68th St
Ste 305
Hialeah, FL 33016
Phone (305) 822-4107

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1611 NW 12th Ave
#300
Miami, FL 33136
Phone (305) 585-6970

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

7500 SW 87th Ave
Ste 101
Miami, FL 33173
Phone (305) 595-9511

7600 SW 87th Ave
Miami, FL 33173
Phone (305) 595-2414

7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750

7875 SW 104th St
Ste 201
Miami, FL 33156
Phone (305) 270-7572

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

9415 SW 72nd St
Ste 274
Miami, FL 33173
Phone (305) 468-4184

9500 S Dadeland Blvd
Ste 802
Miami, FL 33156

9333 SW 152nd St
Palmetto Bay, FL 33157
Phone (305) 251-2500

9333 SW 152nd St
Fl 2OR
Palmetto Bay, FL 33157

6110 SW 70th St
South Miami, FL 33143
Phone (305) 662-3100

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

6200 SW 73rd St
Fl 2
South Miami, FL 33143
Phone (305) 740-0823

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1932184207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S DADELAND BLVD",
            "address_2": "SUITE 802",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562824",
            "telephone_number": "305-468-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733601",
            "telephone_number": "786-235-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "JESSICA",
        "middle_name": "LOPEZ",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP3419462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306202300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G3485",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LOPEZ GOMEZ",
            "middle_name": "MARIE",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.