MRS. LINA L GANDARA LOPEZ MSN, APRN, FNP - NPI 1790326460 - Nurse Practitioner in St Petersburg, FL

Q: What is Lina Gandara Lopez's NPI number?

The NPI number for Lina Gandara Lopez is 1790326460. It was assigned to this individual provider in the NPPES registry on October 3, 2019.

Q: What is Lina Gandara Lopez's specialty?

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

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About Mrs. Lina L Gandara Lopez Msn, Aprn, Fnp NPPES

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

MRS. LINA L GANDARA LOPEZ MSN, APRN, FNP (NPI 1790326460) is an individual family provider in St Petersburg, Florida, licensed in Florida (APRN11004347) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1790326460

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LINA L GANDARA LOPEZCredential: MSN, APRN, FNP

Location Address2805 54TH AVE N STE 500St Petersburg, FL 33714-2414

Mailing Address2805 54th Ave N Ste 500St Petersburg, FL 33714-2414 · (727) 341-5800 · Fax (727) 341-5307

Phone(727) 341-5800

Fax(727) 341-5307

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 3, 2019

Last NPPES UpdateOctober 22, 20243 updates tracked since enumeration

NPPES CertifiedOctober 22, 2024

✔ NPI 1790326460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11004347

Also ListedNurse PractitionerTaxonomy 363L00000X · License 11004347 (FL)

2805 54TH AVE N STE 500, St Petersburg, FL 33714

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lina L Gandara Lopez Msn, Aprn, Fnp 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 ID3274951488

PECOS Enrollment IDI20200918002040

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33714 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.

JULAINE BRAHAM MD

Internal Medicine