MS. TASHIKA GOMEZ PNP
NPI 1053575829
Nurse Practitioner - Pediatrics in Plantation, FL

Q: What is Tashika Gomez's NPI number?

The NPI number for Tashika Gomez is 1053575829. It was assigned to this individual provider in the NPPES registry on July 10, 2008.

Q: What is Tashika Gomez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Tashika Gomez was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 10, 2008PECOS Enrolled

9611 W BROWARD BLVD, PLANTATION, FL 33324(954) 924-7000 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 29, 2023, Oct 11, 2016 (2 updates tracked since 2016).

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About Ms. Tashika Gomez Pnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TASHIKA GOMEZ PNP (NPI 1053575829) is an individual pediatrics provider in Plantation, Florida, licensed in Florida (APRN11017209) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1053575829

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMS. TASHIKA GOMEZCredential: PNP

Location Address9611 W BROWARD BLVDPlantation, FL 33324-2334

Mailing Address428 S Alvord StSyracuse, NY 13208-2720 · (315) 435-4210 · Fax (315) 435-4993

Phone(954) 924-7000

Sole ProprietorYes

Enumeration DateJuly 10, 2008

Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration

NPPES CertifiedNovember 27, 2023

✔ NPI 1053575829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in FL · APRN11017209✔ Licensed in NY · 382654

Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN11017209 (FL)

9611 W BROWARD BLVD, Plantation, FL 33324

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Secondary Practice Locations 3

Location 111260 Sullivan StRiverview, FL 33578-2140 · Phone (813) 689-7571

Location 2428 S Alvord StSyracuse, NY 13208-2720 · Phone (315) 435-4210 · Fax (315) 435-4993

Location 34972 Town Center Pkwy Unit 301Jacksonville, FL 32246-8596 · Phone (904) 642-6100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tashika Gomez Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33324 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNA STEPHEN MD

Pediatrics