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HALAYLA B LOPEZ GOMEZ APRN, FNP-BC
NPI 1104761287
Nurse Practitioner - Family in Deland, FL

Active since April 23, 2026PECOS Enrolled
165 E FIESTA KEY LOOP, DELAND, FL 32720(787) 415-4878 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Halayla B Lopez Gomez Aprn, Fnp-bc NPPES

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

HALAYLA B LOPEZ GOMEZ APRN, FNP-BC (NPI 1104761287) is an individual family provider in Deland, Florida, licensed in Florida (APRN11047014) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104761287
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHALAYLA B LOPEZ GOMEZCredential: APRN, FNP-BC
Location Address165 E FIESTA KEY LOOPDeland, FL 32720-3922
Mailing Address165 E Fiesta Key LoopDeland, FL 32720-3922
Phone(787) 415-4878
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 23, 2026
NPPES CertifiedApril 21, 2026
✔ NPI 1104761287 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 · APRN11047014
165 E FIESTA KEY LOOP, Deland, FL 32720
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Halayla B Lopez Gomez Aprn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395205850
PECOS Enrollment IDI20260903001593
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.

Medicare Billing Reassignment

Medicare enrollment records show Halayla Lopez Gomez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

West Volusia Family And Sports Medicine Inc
2.8 mi
Family Medicine
1590 S STATE ROAD 15A STE 100
Deland, FL 32720
  • Reassigned Medicare billing, Florida enrollment
  • 14 clinicians in this Medicare group
NPI 1548584600 (386) 774-0016

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32720 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.

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 Halayla Lopez Gomez's NPI number?

The NPI number for Halayla Lopez Gomez is 1104761287. It was assigned to this individual provider in the NPPES registry on April 23, 2026.

Where is Halayla Lopez Gomez located?

Halayla Lopez Gomez practices at 165 E Fiesta Key Loop, Deland, FL 32720. The listed phone number is (787) 415-4878.

What is Halayla Lopez Gomez's specialty?

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

Is Halayla Lopez Gomez enrolled in Medicare?

Yes. Halayla Lopez Gomez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Halayla Lopez Gomez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Halayla Lopez Gomez reassigns Medicare benefits to West Volusia Family And Sports Medicine Inc (Deland, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Halayla Lopez Gomez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Halayla Lopez Gomez was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.