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GISELA ULLOA FANDINO
NPI 1669088605
Nurse Practitioner - Family in Miami, FL

Active since September 16, 2020PECOS EnrolledAccepts Medicare Assignment
2215 NW 36TH ST, MIAMI, FL 33142(786) 502-3857(786) 391-3787 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2025, Nov 30, 2020, Sep 16, 2020 (3 updates tracked since 2020).

About Gisela Ulloa Fandino NPPES

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

GISELA ULLOA FANDINO (NPI 1669088605) is an individual family provider in Miami, Florida, licensed in Florida (11008374) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669088605
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGISELA ULLOA FANDINO
Location Address2215 NW 36TH STMiami, FL 33142-5357
Mailing Address2215 Nw 36th StMiami, FL 33142-5357 · (786) 502-3857 · Fax (786) 931-3787
Phone(786) 502-3857
Fax(786) 391-3787
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 16, 2020
Last NPPES UpdateAugust 7, 20253 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
✔ NPI 1669088605 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 · 11008374
2215 NW 36TH ST, Miami, FL 33142
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida.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

Gisela Ulloa Fandino 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 ID6709298813
PECOS Enrollment IDI20260424000489
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 Reassignments

2

Medicare enrollment records show Gisela Ulloa Fandino reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wedo Medical Center Corp
Same address
General Practice
2215 NW 36TH ST
Miami, FL 33142
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1245990019 (844) 933-6633
New Access Medical Center Inc
16 mi
Clinic/Center
11981 SW 144TH CT STE 201
Miami, FL 33186
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1750998761 (786) 459-0109

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 33142 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 2

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

WEDO MEDICAL CENTER CORP
General Practice
2215 NW 36TH ST
MIAMI, FL 33142
Miami-Dade County (844) 933-6633
MARISEL DEL CARMEN TRISTA MARTINEZ APRN
Nurse Practitioner (Family)
2215 NW 36TH ST
MIAMI, FL 33142
Miami-Dade County (786) 502-3857

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 Gisela Ulloa Fandino's NPI number?

The NPI number for Gisela Ulloa Fandino is 1669088605. It was assigned to this individual provider in the NPPES registry on September 16, 2020.

Where is Gisela Ulloa Fandino located?

Gisela Ulloa Fandino practices at 2215 NW 36th St, Miami, FL 33142. The listed phone number is (786) 502-3857.

What is Gisela Ulloa Fandino's specialty?

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

Is Gisela Ulloa Fandino enrolled in Medicare?

Yes. Gisela Ulloa Fandino 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 organizations bill Medicare for Gisela Ulloa Fandino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gisela Ulloa Fandino reassigns Medicare benefits to 2 organizations: Wedo Medical Center Corp (Miami, FL) and New Access Medical Center Inc (Miami, FL). Each 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 Gisela Ulloa Fandino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gisela Ulloa Fandino accept?

Health plans from Ambetter Health, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Gisela Ulloa Fandino 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 Gisela Ulloa Fandino was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.