MARILYN LOPEZ GONZALEZ NP
NPI 1053821934
Nurse Practitioner - Family in Miami Beach, FL

Active since October 05, 2017PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
4300 ALTON RD, MIAMI BEACH, FL 33140(305) 481-9776 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marilyn Lopez Gonzalez Np NPPES

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

MARILYN LOPEZ GONZALEZ NP (NPI 1053821934) is an individual family provider in Miami Beach, Florida, licensed in Florida (ARNP9311935) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1053821934
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARILYN LOPEZ GONZALEZCredential: NP
Location Address4300 ALTON RDMiami Beach, FL 33140-2948
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 5, 2017
Last NPPES UpdateSeptember 18, 2018
NPI 1053821934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · ARNP9311935
4300 ALTON RD, Miami Beach, FL 33140

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marilyn Lopez Gonzalez Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729349873
PECOS Enrollment IDI20180306000907
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
71 services71 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
38 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33140 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
95%21 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physician Assistant (Medical)
4300 ALTON RD, SUITE 2070
MIAMI BEACH, FL 33140
Surgery
4300 ALTON RD
MIAMI BEACH, FL 33140
Pharmacist
4300 ALTON RD
MIAMI BEACH, FL 33140
Pathology (Anatomic Pathology & Clinical Pathology)
4300 ALTON RD
MIAMI BEACH, FL 33140
Anesthesiology
4300 ALTON RD, SUITE 1401
MIAMI BEACH, FL 33140
Emergency Medicine
4300 ALTON RD
MIAMI BEACH, FL 33140
Student in an Organized Health Care Education/Training Program
4300 ALTON RD
MIAMI BEACH, FL 33140
Student in an Organized Health Care Education/Training Program
4300 ALTON RD
MIAMI BEACH, FL 33140

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marilyn Lopez Gonzalez's NPI number?

The NPI number for Marilyn Lopez Gonzalez is 1053821934. It was assigned to this individual provider in the NPPES registry on October 5, 2017.

Where is Marilyn Lopez Gonzalez located?

Marilyn Lopez Gonzalez practices at 4300 Alton Rd, Miami Beach, FL 33140. The listed phone number is (305) 481-9776.

What is Marilyn Lopez Gonzalez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marilyn Lopez Gonzalez enrolled in Medicare?

Yes. Marilyn Lopez Gonzalez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Marilyn Lopez Gonzalez accept?

Health plans from AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and UnitedHealthcare list Marilyn Lopez Gonzalez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marilyn Lopez Gonzalez was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.