MARIO MICHEL GOMEZ HERNANDEZ APRN
NPI 1962923375
Nurse Practitioner - Family in Coral Gables, FL

Active since July 06, 2017PECOS EnrolledAccepts Medicare Assignment
5555 PONCE DE LEON BLVD, CORAL GABLES, FL 33146(305) 243-2424 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 11, 2025, Dec 30, 2024, Dec 13, 2024 and 5 more (8 updates tracked since 2017).

About Mario Michel Gomez Hernandez Aprn NPPES

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

MARIO MICHEL GOMEZ HERNANDEZ APRN (NPI 1962923375) is an individual family provider in Coral Gables, Florida, licensed in Florida (APRN11027912) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1962923375
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARIO MICHEL GOMEZ HERNANDEZCredential: APRN
Location Address5555 PONCE DE LEON BLVDCoral Gables, FL 33146-2513
Mailing Address5555 Ponce De Leon BlvdCoral Gables, FL 33146-2513 · (305) 243-2424
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 6, 2017
Last NPPES UpdateFebruary 11, 20258 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
✔ NPI 1962923375 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 · APRN11027912
Also ListedBehavior AnalystTaxonomy 103K00000X · License 1-21-53906 (FL)
5555 PONCE DE LEON BLVD, Coral Gables, FL 33146

Accepted Insurance

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

Mario Michel Gomez Hernandez Aprn 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 ID8628415122
PECOS Enrollment IDI20240320000260
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 Mario Gomez Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
8932 SW 97TH AVE
Miami, FL 33176
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 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 33146 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 20

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

Physician Assistant (Surgical)
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Radiology (Diagnostic Radiology)
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Internal Medicine (Cardiovascular Disease)
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Internal Medicine (Interventional Cardiology)
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Internal Medicine (Nephrology)
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Dietitian, Registered
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Internal Medicine
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
Nurse Practitioner
5555 PONCE DE LEON BLVD
CORAL GABLES, FL 33146

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 Mario Gomez Hernandez's NPI number?

The NPI number for Mario Gomez Hernandez is 1962923375. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Where is Mario Gomez Hernandez located?

Mario Gomez Hernandez practices at 5555 Ponce De Leon Blvd, Coral Gables, FL 33146. The listed phone number is (305) 243-2424.

What is Mario Gomez Hernandez's specialty?

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

Is Mario Gomez Hernandez enrolled in Medicare?

Yes. Mario Gomez Hernandez 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 organization bills Medicare for Mario Gomez Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Gomez Hernandez reassigns Medicare benefits to University Of Miami (Miami, 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 Mario Gomez Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mario Gomez Hernandez accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 2 other insurers list Mario Gomez Hernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mario Gomez Hernandez was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.