OSMAY GOMEZ HERNANDEZ APRN
NPI 1568045201
Nurse Practitioner - Acute Care in Miami, FL

NPI Status: Active since April 30, 2021

Contact Information

1475 NW 12TH AVE
MIAMI, FL
ZIP 33136
Phone: (305) 243-4372
Fax: (305) 243-9161

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Nurse Practitioner
Acute Care
Accepts Insurance
PECOS Enrolled

About OSMAY GOMEZ HERNANDEZ

This page provides the complete NPI Profile along with additional information for Osmay Gomez Hernandez, a provider established in Miami, Florida with a medical specialization in Nurse Practitioner, focusing in acute care . The healthcare provider is registered in the NPI registry with number 1568045201 assigned on April 2021. The practitioner's primary taxonomy code is 363LA2100X with license number APRN11011399 (FL). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI: 1568045201
Provider Name: OSMAY GOMEZ HERNANDEZ APRN
Gender: Male
Entity Type: Individual
Location Address: 1475 NW 12TH AVE MIAMI, FL 33136
Location Phone: (305) 243-4372
Location Fax: (305) 243-9161
Mailing Address: 1475 NW 12TH AVE MIAMI, FL 33136
Mailing Phone: (305) 243-4372
Mailing Fax: (305) 243-9161
Is Sole Proprietor?: No
Enumeration Date: 04-30-2021
Last Update Date: 06-21-2021
Code Navigator

A nurse practitioner (NP) like Osmay Gomez Hernandez is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Nurse Practitioner Acute Care
Taxonomy Code: 363LA2100X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: APRN11011399
License State: FL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

AvMed

AvMed Entrust Bronze 600 (2025) - HMO
AvMed Entrust Bronze 650 (2025) - HMO
AvMed Entrust Expanded Bronze Standard (2025) - HMO
AvMed Entrust Gold 125 (2025) - HMO
AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
AvMed Entrust Gold Standard (2025) - HMO
AvMed Entrust Platinum 25 (2025) - HMO
AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
AvMed Entrust Platinum Standard (2025) - HMO
AvMed Entrust Silver 350 (2025) - HMO
AvMed Entrust Silver 350 Dental+Vision (2025) - HMO
AvMed Entrust Silver 550 (2025) - HMO
AvMed Entrust Silver 550 Dental+Vision (2025) - HMO
AvMed Entrust Silver Standard (2025) - HMO

Molina Healthcare

Bronze 4 - HMO
Bronze 8 - HMO
Gold 1 - HMO
Gold 1 with Adult Vision Services - HMO
Gold 8 - HMO
Silver 1 - HMO
Silver 1 with Adult Vision Services - HMO
Silver 12 with First 4 Primary Care Visits Free - HMO
Silver 8 - HMO
Silver 9 - HMO

Oscar Insurance Company of Florida

Bronze Classic 4700 - EPO
Bronze Classic Standard - EPO
Bronze Elite + PCP Saver Plus - EPO
Gold Classic Standard - EPO
Gold Elite - EPO
Gold Elite Saver Plus - EPO
Secure - EPO
Silver Classic Standard - EPO
Silver Elite - EPO
Silver Simple Chronic Care CKM - EPO
Silver Simple Diabetes - EPO
Silver Simple PCP Saver - EPO

UnitedHealthcare

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
UHC Bronze Standard - HMO
UHC Bronze Value ($0 Virtual Urgent Care) - HMO
UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
UHC Gold Standard - HMO
UHC Silver Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
UHC Silver Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
UHC Silver Standard - HMO
UHC Silver Standard+ (Dental + Vision) - HMO
UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Osmay Gomez Hernandez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 33136 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $96.13
Minimum New Patient Price $60.92
Maximum New Patient Price $187.05

Average New Patient Copayment $24.03
Minimum New Patient Copayment $15.23
Maximum New Patient Copayment $46.76

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $107.17
Minimum Established Patient Price $18.99
Maximum Established Patient Price $150.24

Average Established Patient Copayment $26.79
Minimum Established Patient Copayment $4.74
Maximum Established Patient Copayment $37.56

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	5	6	8	0	4	5	2	0	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	12	8	0	4	10	2	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 0 + 4 + 1 + 0 + 2 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 1									1

The NPI number 1568045201 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DR. STEVEN L. COHN M.D.

Internal Medicine

1475 NW 12TH AVE
MIAMI, FL
ZIP 33136

About OSMAY GOMEZ HERNANDEZ

Location Map

Specialty - Primary Taxonomy

Nurse Practitioner Acute Care

Insurance Plans Accepted

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for OSMAY GOMEZ HERNANDEZ APRN

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions