GABRIELLE MCCOLLUM
NPI 1689368441
Nurse Practitioner - Pediatrics in Lutz, FL

Q: What is Gabrielle Mccollum's NPI number?

The NPI number for Gabrielle Mccollum is 1689368441. It was assigned to this individual provider in the NPPES registry on June 5, 2023. The provider is also known as Gabrielle Lombardi.

Q: What is Gabrielle Mccollum's specialty?

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

Active since June 05, 2023PECOS Enrolled

21758 STATE ROAD 54, LUTZ, FL 33549(813) 563-6070 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Gabrielle Mccollum NPPES

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

GABRIELLE MCCOLLUM (NPI 1689368441) is an individual pediatrics provider in Lutz, Florida, licensed in Florida (11025313) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1689368441

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameGABRIELLE MCCOLLUM

Location Address21758 STATE ROAD 54Lutz, FL 33549-6921

Mailing AddressPo Box 917770Orlando, FL 32891-0001 · (813) 821-8038

Phone(813) 563-6070

Sole ProprietorYes

Enumeration DateJune 5, 2023

Last NPPES UpdateFebruary 9, 2026

NPPES CertifiedFebruary 9, 2026

✔ NPI 1689368441 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 · 11025313

21758 STATE ROAD 54, Lutz, FL 33549

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Other Names 1

Former Name (1)Gabrielle Lombardi

Secondary Practice Location 1

Location 12 Tampa General CirTampa, FL 33606-3571 · Phone (813) 821-8038

Other Identifiers 2

OtherT1JE4FL · Bcbs

Medicaid118630100FL

Accepted Insurance

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

Gabrielle Mccollum 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 Reassignments

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

Sandhill Pediatrics, P.A.

Same address

Pediatrics

21758 STATE ROAD 54
Lutz, FL 33549

Reassigned Medicare billing, Florida enrollment
3 clinicians in this Medicare group

NPI 1902302748 (813) 563-6070

University Medical Service Association Inc

8.4 mi

General Practice

12901 BRUCE B DOWNS BLVD, MDC 62
Tampa, FL 33612

Reassigned Medicare billing, Florida enrollment
1,079 clinicians in this Medicare group

NPI 1538360425 (813) 821-8038

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 33549 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 6

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

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