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GISSELLE PRADA MARTINEZ APRN
NPI 1619587805
Nurse Practitioner - Family in Hialeah, FL

Active since August 03, 2020PECOS Enrolled
6940 NW 186TH ST APT 131, HIALEAH, FL 33015(786) 442-8349 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gisselle Prada Martinez Aprn NPPES

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

GISSELLE PRADA MARTINEZ APRN (NPI 1619587805) is an individual family provider in Hialeah, Florida, licensed in Florida (11007966) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619587805
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGISSELLE PRADA MARTINEZCredential: APRN
Location Address6940 NW 186TH ST APT 131Hialeah, FL 33015-3277
Mailing Address6940 Nw 186th St Apt 131Hialeah, FL 33015-3277 · (786) 442-8349
Phone(786) 442-8349
Sole ProprietorNo
Enumeration DateAugust 3, 2020
NPPES CertifiedAugust 3, 2020
✔ NPI 1619587805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11007966
6940 NW 186TH ST APT 131, Hialeah, FL 33015
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gisselle Prada Martinez 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.

Medicare Billing Reassignment

Medicare enrollment records show Gisselle Prada Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gold Diagnostics Corp
964 mi
Internal Medicine
10101 FONDREN RD STE 112
Houston, TX 77096
  • Reassigned Medicare billing, Florida enrollment
  • 15 clinicians in this Medicare group
NPI 1346824554 (281) 912-3264

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 33015 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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

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

SERGIO FERNANDEZ ACOSTA
Nurse Practitioner (Family)
6940 NW 186TH ST APT 131
HIALEAH, FL 33015
Miami-Dade County (786) 574-1182

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 Gisselle Prada Martinez's NPI number?

The NPI number for Gisselle Prada Martinez is 1619587805. It was assigned to this individual provider in the NPPES registry on August 3, 2020.

Where is Gisselle Prada Martinez located?

Gisselle Prada Martinez practices at 6940 NW 186th St Apt 131, Hialeah, FL 33015. The listed phone number is (786) 442-8349.

What is Gisselle Prada Martinez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gisselle Prada Martinez enrolled in Medicare?

Yes. Gisselle Prada Martinez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gisselle Prada Martinez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gisselle Prada Martinez reassigns Medicare benefits to Gold Diagnostics Corp (Houston, TX). 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 Gisselle Prada Martinez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gisselle Prada Martinez accept?

Health plans from UnitedHealthcare list Gisselle Prada Martinez 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.

When was this NPI record last updated?

The NPPES record for Gisselle Prada Martinez was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.