SAMANTHA GONGORA
NPI 1467307967
Nurse Anesthetist, Certified Registered in Tampa, FL

Active since February 28, 2026Accepts Medicare Assignment
3100 E FLETCHER AVE, TAMPA, FL 33613(813) 971-6000 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samantha Gongora NPPES

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

SAMANTHA GONGORA (NPI 1467307967) is an individual nurse anesthetist, certified registered in Tampa, Florida, licensed in Florida (RN9541195) and active in the NPI registry since February 2026. She is affiliated with Adventhealth Wesley Chapel and is a graduate of University Of Florida College Of Medicine (2026).

NPPES Registry Identity

NPI1467307967
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSAMANTHA GONGORA
Location Address3100 E FLETCHER AVETampa, FL 33613-4613
Mailing Address3100 E Fletcher AveTampa, FL 33613-4613
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2026
Enumeration DateFebruary 28, 2026
Last NPPES UpdateMay 25, 2026
NPPES CertifiedMay 25, 2026
✔ NPI 1467307967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in FL · RN9541195
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
3100 E FLETCHER AVE, Tampa, FL 33613

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Gongora 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 ID42782005
PECOS Enrollment IDI20260611000084

Medicare Billing Reassignment

Medicare enrollment records show Samantha Gongora reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
3100 E FLETCHER AVE
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 749 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Wesley Chapel

Acute Care Hospitals · Wesley Chapel, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100319
Location2600 Bruce B Downs BlvdWesley Chapel, FL 33544 · Pasco County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33613 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

Physical Therapist
3100 E FLETCHER AVE
TAMPA, FL 33613
Emergency Medicine
3100 E FLETCHER AVE
TAMPA, FL 33613
Specialist/Technologist, Other (Surgical Assistant)
3100 E FLETCHER AVE
TAMPA, FL 33613
Specialist/Technologist, Other (Surgical Assistant)
3100 E FLETCHER AVE
TAMPA, FL 33613
Specialist/Technologist, Other (Surgical Assistant)
3100 E FLETCHER AVE
TAMPA, FL 33613
Student in an Organized Health Care Education/Training Program
3100 E FLETCHER AVE
TAMPA, FL 33613
Nurse Practitioner
3100 E FLETCHER AVE
TAMPA, FL 33613
Emergency Medicine
3100 E FLETCHER AVE
TAMPA, FL 33613

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 Samantha Gongora's NPI number?

The NPI number for Samantha Gongora is 1467307967. It was assigned to this individual provider in the NPPES registry on February 28, 2026.

Where is Samantha Gongora located?

Samantha Gongora practices at 3100 E Fletcher Ave, Tampa, FL 33613. The listed phone number is (813) 971-6000.

What is Samantha Gongora's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Samantha Gongora enrolled in Medicare?

Yes. Samantha Gongora 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.

Which organization bills Medicare for Samantha Gongora's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Gongora reassigns Medicare benefits to Greater Florida Anesthesiologists, LLC (Tampa, 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 Samantha Gongora's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Gongora accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Samantha Gongora 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.

Is Samantha Gongora affiliated with any hospitals?

According to CMS data, Samantha Gongora is affiliated with Adventhealth Wesley Chapel.

When was this NPI record last updated?

The NPPES record for Samantha Gongora was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.