SOPHIA NICOLE GANGUZZA MSN, APRN
NPI 1487349155
Nurse Practitioner - Pediatrics in Jacksonville, FL

Q: What is Sophia Ganguzza's NPI number?

The NPI number for Sophia Ganguzza is 1487349155. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Q: What is Sophia Ganguzza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Sophia Ganguzza was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 10, 2023PECOS Enrolled

800 PRUDENTIAL DR, JACKSONVILLE, FL 32207(904) 202-8000 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 7, 2026, Apr 10, 2023 (2 updates tracked since 2023).

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About Sophia Nicole Ganguzza Msn, Aprn NPPES

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

SOPHIA NICOLE GANGUZZA MSN, APRN (NPI 1487349155) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (APRN11045735) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487349155

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSOPHIA NICOLE GANGUZZACredential: MSN, APRN

Location Address800 PRUDENTIAL DRJacksonville, FL 32207-8211

Mailing Address800 Prudential DrJacksonville, FL 32207-8211 · (904) 202-8000

Phone(904) 202-8000

Sole ProprietorNo

Enumeration DateApril 10, 2023

Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration

NPPES CertifiedJuly 7, 2026

✔ NPI 1487349155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in FL · APRN11045735

800 PRUDENTIAL DR, Jacksonville, FL 32207

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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 (PECOS)

Sophia Nicole Ganguzza Msn, Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 32207 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.

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