Individual provider Active NPI

Paola Shakira Gomez, APRN

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1982380408
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11027397 Issued in FL
Practice address
4250 SW 153Rd PL
Miami, FL 33185-4297
Phone
(305) 498-1096
NPI assigned
Jun 27, 2023
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11027397 FL Primary

Addresses

Primary practice location

4250 SW 153Rd PL
Miami, FL 33185-4297

Mailing address

4250 SW 153Rd PL
Miami, FL 33185-4297
Phone (305) 498-1096

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
I20231018002237 FL Practitioner - Nurse Practitioner 7214382753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florian Gegaj MD Epcp LLCGroup PAC ID 0244747020, 4 clinicians
Florian Gegaj MD LLCGroup PAC ID 7810323268, 4 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 206
The Villages, FL 32162-1762
Phone (352) 353-0092

2953 Traverse TRL
The Villages, FL 32163-2017
Phone (352) 693-3378

PO Box
Suite 383
Oxford, FL 32162-1762

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11027397FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florian Gegaj MD LLC CurrentSince Nov 1, 2023 Accepting new patients
Florian Gegaj MD Epcp LLC CurrentSince Jul 4, 2025 Accepting new patients

Locations

1050 Old Camp Rd
Ste 206
The Villages, FL 32162
Phone (352) 353-0092

5463 Spencer Ct
Wildwood, FL 34785
Phone (352) 353-0092

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": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1982380408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 SW 153RD PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854297",
            "telephone_number": "305-498-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 SW 153RD PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331854297",
            "telephone_number": "305-498-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "PAOLA",
        "middle_name": "SHAKIRA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11027397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.