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DR. JOSE LUIS GONZALEZ-ROMAN APRN,FNP-C,PMHNP-BC
NPI 1063187128
Nurse Practitioner - Psychiatric/Mental Health in Lithia, FL

Active since August 11, 2021PECOS Enrolled
14888 SUMMER BRANCH DR, LITHIA, FL 33547(813) 502-9354 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2024, Aug 11, 2021 (2 updates tracked since 2021).

About Dr. Jose Luis Gonzalez-roman Aprn,fnp-c,pmhnp-bc NPPES

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

DR. JOSE LUIS GONZALEZ-ROMAN APRN,FNP-C,PMHNP-BC (NPI 1063187128) is an individual psychiatric/mental health provider in Lithia, Florida, licensed in Florida (APRN11012338) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063187128
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDR. JOSE LUIS GONZALEZ-ROMANCredential: APRN,FNP-C,PMHNP-BC
Location Address14888 SUMMER BRANCH DRLithia, FL 33547-5130
Mailing Address14888 Summer Branch DrLithia, FL 33547-5130 · (813) 502-9354
Phone(813) 502-9354
Sole ProprietorNo
Enumeration DateAugust 11, 2021
Last NPPES UpdateJanuary 21, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2025
✔ NPI 1063187128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11012338
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11012338 (FL), GAA-NP-000179 (GA)
14888 SUMMER BRANCH DR, Lithia, FL 33547
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.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)

Dr. Jose Luis Gonzalez-roman Aprn,fnp-c,pmhnp-bc 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 33547 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES

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

BALANCE HEALING SOLUTIONS PSYCHIATRY
Nurse Practitioner (Psychiatric/Mental Health)
14888 SUMMER BRANCH DR
LITHIA, FL 33547
Hillsborough County (813) 502-9354

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 Jose Gonzalez-roman's NPI number?

The NPI number for Jose Gonzalez-roman is 1063187128. It was assigned to this individual provider in the NPPES registry on August 11, 2021.

Where is Jose Gonzalez-roman located?

Jose Gonzalez-roman practices at 14888 Summer Branch Dr, Lithia, FL 33547. The listed phone number is (813) 502-9354.

What is Jose Gonzalez-roman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jose Gonzalez-roman enrolled in Medicare?

Yes. Jose Gonzalez-roman is registered in the Medicare PECOS enrollment system.

What insurance does Jose Gonzalez-roman accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Jose Gonzalez-roman 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 Jose Gonzalez-roman was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.