MRS. LINA L GANDARA LOPEZ MSN, APRN, FNP
NPI 1790326460
Nurse Practitioner - Family 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.

Active since October 03, 2019PECOS Enrolled

2805 54TH AVE N STE 500, ST PETERSBURG, FL 33714(727) 341-5800(727) 341-5307 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2021, Dec 10, 2019, Oct 3, 2019 (3 updates tracked since 2019).

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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.

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

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lina L Gandara Lopez Msn, Aprn, Fnp 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 Lina Gandara Lopez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dedicated Senior Medical Center Of Florida, LLC

6.3 mi

Specialist

7050 ULMERTON RD
Largo, FL 33771

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

NPI 1659888741 (305) 628-6117

Steward Medical Group, Inc.

123 mi

Urology

1317 W POINT DR
Cocoa, FL 32922

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

NPI 1104367630 (615) 467-4158

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 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 7

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

JULAINE BRAHAM MD

Internal Medicine