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LIDISLAY GONZALEZ FUENTES ARNP
NPI 1801675673
Nurse Practitioner - Family in Hialeah, FL

Active since September 21, 2023PECOS Enrolled
1030 W 47TH ST, HIALEAH, FL 33012(786) 531-8250 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 11, 2024, May 11, 2024 (2 updates tracked since 2024).

About Lidislay Gonzalez Fuentes Arnp NPPES

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

LIDISLAY GONZALEZ FUENTES ARNP (NPI 1801675673) is an individual family provider in Hialeah, Florida, licensed in Florida (APRN11030508) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801675673
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLIDISLAY GONZALEZ FUENTESCredential: ARNP
Location Address1030 W 47TH STHialeah, FL 33012-3317
Mailing Address1030 W 47th StHialeah, FL 33012-3317 · (786) 531-8250
Phone(786) 531-8250
Sole ProprietorYes
Enumeration DateSeptember 21, 2023
Last NPPES UpdateOctober 11, 20242 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
✔ NPI 1801675673 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
Licenses✔ Licensed in FL · APRN11030508✔ Licensed in FL · F09230547
1030 W 47TH ST, Hialeah, FL 33012
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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)

Lidislay Gonzalez Fuentes Arnp 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

2

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

Advanced Gastroenterology Of South Florida, P.A.
2.0 mi
Gastroenterology
7100 W 20TH AVE, SUITE 301
Hialeah, FL 33016
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Advanced Gastroenterology Of South Florida PA
  • 5 clinicians in this Medicare group
NPI 1063845113 (305) 556-3727
Nuview Telehealth, LLC
37 mi
Specialist
1825 NW CORPORATE BLVD STE 105
Boca Raton, FL 33431
  • Reassigned Medicare billing, Florida enrollment
  • 139 clinicians in this Medicare group
NPI 1538300181 (561) 299-3667

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 33012 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

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

LILISBET ALONSO FUENTES
Nurse Practitioner (Family)
1030 W 47TH ST
HIALEAH, FL 33012
Miami-Dade County (786) 231-8031

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 Lidislay Gonzalez Fuentes's NPI number?

The NPI number for Lidislay Gonzalez Fuentes is 1801675673. It was assigned to this individual provider in the NPPES registry on September 21, 2023.

Where is Lidislay Gonzalez Fuentes located?

Lidislay Gonzalez Fuentes practices at 1030 W 47th St, Hialeah, FL 33012. The listed phone number is (786) 531-8250.

What is Lidislay Gonzalez Fuentes's specialty?

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

Is Lidislay Gonzalez Fuentes enrolled in Medicare?

Yes. Lidislay Gonzalez Fuentes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lidislay Gonzalez Fuentes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lidislay Gonzalez Fuentes reassigns Medicare benefits to 2 organizations: Advanced Gastroenterology Of South Florida, P.A. (Hialeah, FL) and Nuview Telehealth, LLC (Boca Raton, 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 Lidislay Gonzalez Fuentes'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 Lidislay Gonzalez Fuentes was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.