CARLOS MANUEL GOMEZ APRN
NPI 1407466774
Nurse Practitioner - Psychiatric/Mental Health in Pembroke Pines, FL

Q: What is Carlos Gomez's NPI number?

The NPI number for Carlos Gomez is 1407466774. It was assigned to this individual provider in the NPPES registry on August 3, 2020.

Q: What is Carlos Gomez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carlos Gomez was last updated on December 13, 2023. 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 August 03, 2020PECOS EnrolledAccepts Medicare Assignment

2010 NW 150TH AVE STE 120, PEMBROKE PINES, FL 33028(954) 719-6280 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2023, Dec 2, 2022, Nov 17, 2022 and 3 more (6 updates tracked since 2020).

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About Carlos Manuel Gomez Aprn NPPES

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

CARLOS MANUEL GOMEZ APRN (NPI 1407466774) is an individual psychiatric/mental health provider in Pembroke Pines, Florida, licensed in Florida (11007700) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1407466774

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameCARLOS MANUEL GOMEZCredential: APRN

Location Address2010 NW 150TH AVE STE 120Pembroke Pines, FL 33028-2888

Mailing Address4740 N State Road 7Lauderdale Lakes, FL 33319-5839 · (954) 486-4005

Phone(954) 719-6280

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 3, 2020

Last NPPES UpdateDecember 13, 20236 updates tracked since enumeration

NPPES CertifiedDecember 13, 2023

✔ NPI 1407466774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in FL · 11007700✔ Licensed in FL · APRN11007700

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License APRN11007700 (FL)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 11007700 (FL)

2010 NW 150TH AVE STE 120, Pembroke Pines, FL 33028

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida 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

Carlos Manuel 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 ID42622722

PECOS Enrollment IDI20201222002135

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 33028 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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 9

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

NATALIE DOYLEY-GREEN APRN, PMHNP-BC,

Nurse Practitioner (Psychiatric/Mental Health)