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MAILEN GOMEZ APRN
NPI 1194285577
Nurse Practitioner in Miami, FL

Active since March 22, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
11760 SW 40TH ST STE 722, MIAMI, FL 33175(305) 559-1883(305) 559-1887 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2019, Mar 22, 2019 (2 updates tracked since 2019).

About Mailen Gomez Aprn NPPES

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

MAILEN GOMEZ APRN (NPI 1194285577) is an individual nurse practitioner in Miami, Florida, licensed in Florida (APRN9327988) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194285577
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMAILEN GOMEZCredential: APRN
Location Address11760 SW 40TH ST STE 722Miami, FL 33175-8101
Mailing Address11760 Sw 40th St Ste 722Miami, FL 33175-8101 · (305) 559-1883 · Fax (305) 559-1887
Phone(305) 559-1883
Fax(305) 559-1887
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 22, 2019
Last NPPES UpdateMay 22, 20192 updates tracked since enumeration
✔ NPI 1194285577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN9327988
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN9327988 (FL)
11760 SW 40TH ST STE 722, Miami, FL 33175
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Mailen Gomez Aprn 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 ID8921333758
PECOS Enrollment IDI20190716001196
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33175 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.

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

Other Providers at the Same Location NPPES 8

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

INTELLIRAD IMAGING, LLC
Radiology (Diagnostic Radiology)
11760 SW 40TH ST STE 722
MIAMI, FL 33175
Miami-Dade County (305) 559-1883
FERNANDO JAVIER PEREZ MD
Pediatrics (Pediatric Critical Care Medicine)
11760 SW 40TH ST STE 722
MIAMI, FL 33175
Miami-Dade County (305) 559-1334
DR. MICHAEL LEONARD RENDA D.O.
Surgery
11760 SW 40TH ST STE 722
MIAMI, FL 33175
Miami-Dade County (941) 724-0159
DR. SCOTT MICHAEL SANDILANDS D.O.
Orthopaedic Surgery
11760 SW 40TH ST STE 722
MIAMI, FL 33175
Miami-Dade County (305) 559-1883
MR. ALEXANDER ANZARDO ARNP
Nurse Practitioner (Family)
11760 SW 40TH ST STE 722
MIAMI, FL 33175
Miami-Dade County (305) 559-1883
DR. JESSICA MACKEY BABCOCK M.D.
Surgery (Trauma Surgery)
11760 SW 40TH ST STE 722
MIAMI, FL 33175
Miami-Dade County (305) 559-1883
ORLANDO GIL ARNP
Nurse Practitioner (Acute Care)
11760 SW 40TH ST STE 722
MIAMI, FL 33175
Miami-Dade County (305) 559-1883
PALM BEACH GENERAL SURGERY LLC
Surgery
11760 SW 40TH ST STE 722
MIAMI, FL 33175
Miami-Dade County (305) 669-7331

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 Mailen Gomez's NPI number?

The NPI number for Mailen Gomez is 1194285577. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Mailen Gomez located?

Mailen Gomez practices at 11760 SW 40th St Ste 722, Miami, FL 33175. The listed phone number is (305) 559-1883.

What is Mailen Gomez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mailen Gomez enrolled in Medicare?

Yes. Mailen Gomez 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 Mailen Gomez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 1 other insurer list Mailen Gomez 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 Mailen Gomez was last updated on May 22, 2019. 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.