JACLYN ANN GOMEZ FNP
NPI 1366271934
Nurse Practitioner - Family in Syosset, NY

Q: What is Jaclyn Gomez's NPI number?

The NPI number for Jaclyn Gomez is 1366271934. It was assigned to this individual provider in the NPPES registry on July 31, 2024.

Q: What is Jaclyn Gomez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Gomez was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 31, 2024PECOS EnrolledAccepts Medicare Assignment

8 GREENFIELD RD, SYOSSET, NY 11791(592) 051-6628 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jaclyn Ann Gomez Fnp NPPES

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

JACLYN ANN GOMEZ FNP (NPI 1366271934) is an individual family provider in Syosset, New York, licensed in New York (354866) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1366271934

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACLYN ANN GOMEZCredential: FNP

Location Address8 GREENFIELD RDSyosset, NY 11791-4800

Mailing Address793 Bonnie DrBaldwin, NY 11510-4522 · (516) 724-0000

Phone(592) 051-6628

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 31, 2024

NPPES CertifiedJuly 31, 2024

✔ NPI 1366271934 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 NY · 354866

8 GREENFIELD RD, Syosset, NY 11791

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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

Jaclyn Ann Gomez Fnp 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 ID3971030479

PECOS Enrollment IDI20241223001159

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 11791 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 10

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

HEATHER ROBLES

Nurse Practitioner (Adult Health)