SHIRLEY GOMEZ FNP-BC
NPI 1760199897
Nurse Practitioner - Family in Brooklyn, NY

Active since October 28, 2022PECOS EnrolledAccepts Medicare Assignment
4813 9TH AVE FL 5, BROOKLYN, NY 11220(718) 283-2550 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shirley Gomez Fnp-bc NPPES

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

SHIRLEY GOMEZ FNP-BC (NPI 1760199897) is an individual family provider in Brooklyn, New York, licensed in New York (350377) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1760199897
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHIRLEY GOMEZCredential: FNP-BC
Location Address4813 9TH AVE FL 5Brooklyn, NY 11220-2484
Mailing Address4802 10th AveBrooklyn, NY 11219-2916 · (718) 283-2550
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 28, 2022
NPPES CertifiedOctober 12, 2022
✔ NPI 1760199897 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 NY · 350377
4813 9TH AVE FL 5, Brooklyn, NY 11220

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

Shirley Gomez Fnp-bc 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 ID4486164449
PECOS Enrollment IDI20250609002476
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

3

Medicare enrollment records show Shirley Gomez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 1,177 clinicians in this Medicare group
Pediatrics
6010 BAY PKWY STE 902
Brooklyn, NY 11204
  • Reassigned Medicare billing, New York enrollment
  • 137 clinicians in this Medicare group
Health Service
260 AVENUE X
Brooklyn, NY 11223
  • Reassigned Medicare billing, New York enrollment
  • 164 clinicians in this Medicare group

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 11220 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Nurse Practitioner (Family)
4813 9TH AVE FL 5
BROOKLYN, NY 11220
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4813 9TH AVE FL 5
BROOKLYN, NY 11220

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 Shirley Gomez's NPI number?

The NPI number for Shirley Gomez is 1760199897. It was assigned to this individual provider in the NPPES registry on October 28, 2022.

Where is Shirley Gomez located?

Shirley Gomez practices at 4813 9th Ave Fl 5, Brooklyn, NY 11220. The listed phone number is (718) 283-2550.

What is Shirley Gomez's specialty?

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

Is Shirley Gomez enrolled in Medicare?

Yes. Shirley Gomez 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 Shirley Gomez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shirley Gomez reassigns Medicare benefits to 3 organizations: Maimonides Faculty Practice Plan (Brooklyn, NY), Mmc Pediatrics Faculty Practice (Brooklyn, NY) and Century Medical & Dental Center Inc (Brooklyn, NY). 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 Shirley Gomez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shirley Gomez was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.