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MARIAISYS GOMEZ APRN
NPI 1962044016
Nurse Practitioner - Pediatrics in Jacksonville, FL

Active since October 10, 2019PECOS Enrolled
15255 MAX LEGGETT PKWY STE 4000, JACKSONVILLE, FL 32218(904) 383-1540(904) 383-1413 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 31, 2023, Sep 8, 2021, Nov 25, 2019 and 2 more (5 updates tracked since 2019).

About Mariaisys Gomez Aprn NPPES

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

MARIAISYS GOMEZ APRN (NPI 1962044016) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (APRN11004148) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962044016
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARIAISYS GOMEZCredential: APRN
Location Address15255 MAX LEGGETT PKWY STE 4000Jacksonville, FL 32218-7277
Mailing Address15255 Max Leggett Pkwy Ste 4000Jacksonville, FL 32218-7277 · (904) 383-1540 · Fax (904) 383-1413
Phone(904) 383-1540
Fax(904) 383-1413
Sole ProprietorYes
Enumeration DateOctober 10, 2019
Last NPPES UpdateMarch 31, 20235 updates tracked since enumeration
NPPES CertifiedMarch 31, 2023
✔ NPI 1962044016 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 · APRN11004148
15255 MAX LEGGETT PKWY STE 4000, Jacksonville, FL 32218
Open in Google Maps ↗

Other Identifiers 1

Medicaid104567600FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariaisys Gomez Aprn 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 Reassignment

Medicare enrollment records show Mariaisys Gomez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Florida Jacksonville Physicians Inc
9.5 mi
Pulmonary Disease
655 W 8TH ST, UFJP PULMONARY
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 1,456 clinicians in this Medicare group
NPI 1104086479 (904) 244-3660

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 32218 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

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

ANDREW F SINDER M.D.
Pediatrics
15255 MAX LEGGETT PKWY STE 4000
JACKSONVILLE, FL 32218
Duval County (904) 383-1540

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 Mariaisys Gomez's NPI number?

The NPI number for Mariaisys Gomez is 1962044016. It was assigned to this individual provider in the NPPES registry on October 10, 2019.

Where is Mariaisys Gomez located?

Mariaisys Gomez practices at 15255 Max Leggett Pkwy Ste 4000, Jacksonville, FL 32218. The listed phone number is (904) 383-1540.

What is Mariaisys Gomez's specialty?

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

Is Mariaisys Gomez enrolled in Medicare?

Yes. Mariaisys Gomez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mariaisys Gomez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariaisys Gomez reassigns Medicare benefits to University Of Florida Jacksonville Physicians Inc (Jacksonville, FL). The 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 Mariaisys 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 Mariaisys Gomez was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.