WANDA ROSARIO LOPEZ PMHNP
NPI 1366389942
Nurse Practitioner - Psychiatric/Mental Health in Gainesville, FL

Q: What is Wanda Rosario Lopez's NPI number?

The NPI number for Wanda Rosario Lopez is 1366389942. It was assigned to this individual provider in the NPPES registry on May 1, 2026.

Q: What is Wanda Rosario Lopez's specialty?

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

Active since May 01, 2026PECOS Enrolled

1131 NW 64TH TER STE A, GAINESVILLE, FL 32605(352) 363-2025 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2026, May 1, 2026 (2 updates tracked since 2026).

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About Wanda Rosario Lopez Pmhnp NPPES

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

WANDA ROSARIO LOPEZ PMHNP (NPI 1366389942) is an individual psychiatric/mental health provider in Gainesville, Florida, licensed in Florida (APRN11047573) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1366389942

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameWANDA ROSARIO LOPEZCredential: PMHNP

Location Address1131 NW 64TH TER STE AGainesville, FL 32605-4261

Mailing Address1131 Nw 64th Ter Ste AGainesville, FL 32605-4261 · (352) 363-2025

Phone(352) 363-2025

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateMay 1, 2026

Last NPPES UpdateAugust 6, 20262 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1366389942 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 · APRN11047573

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN9513254 (FL)

1131 NW 64TH TER STE A, Gainesville, FL 32605

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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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wanda Rosario Lopez Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476013327

PECOS Enrollment IDI20260901000735

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 Wanda Rosario Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dna Comprehensive Therapy Services, LLC

214 mi

Mental Health (Including Community Mental Health Center)

4310 METRO PKWY STE 205
Fort Myers, FL 33916

Reassigned Medicare billing, Florida enrollment
618 clinicians in this Medicare group

NPI 1316363757 (239) 223-2751

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 32605 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 20

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

MR. ANTHONY RYAN CORTEZ APRN

Nurse Practitioner (Psychiatric/Mental Health)