NANCY JENNIFER GAVILANES (FNP) – Family Nurse Practitioner, NPI 1104376722

NANCY JENNIFER GAVILANES (FNP) is a healthcare provider. based in Pembroke pines, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. F1016050 (FL). The NPI Number for NANCY JENNIFER GAVILANES (FNP) is 1104376722

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
NANCY JENNIFER GAVILANES (FNP)
NPI
1104376722
Phone
(954) 478-0316
Address
18976 NW 23RD PL
Enumeration Date
6 October 2016
Last Update Date
27 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9548762499
Graduation Year
2016 (10 years ago)
PAC ID
4183097223
Group Practice PAC ID
3577472422
Professional Enrollment ID
I20230310000772
Address ID
FL330635713MA2131XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

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Provider Addresses for NANCY JENNIFER GAVILANES (FNP)

  • 18976, Northwest 23rd Place, Pembroke Pines, Broward County, Florida, 33029, United States

    PEMBROKE PINES, FL 330295341

    Phone: (954) 478-0316

    Type: Mailing

  • Memorial Hospital Miramar, 1901, Southwest 172nd Avenue, Miramar, Broward County, Florida, 33020, United States

    MIRAMAR, FL 330295592

    Phone: (954) 538-5176

    Type: Location

  • 1700 NW 49TH ST STE 125

    FORT LAUDERDALE, FL 333093750

    Phone: (954) 759-7599

    Fax: (954) 888-3813

    Type: Mailing

  • 3736 W OAKLAND PARK BLVD

    LAUDERDALE LAKES, FL 333111157

    Phone: (954) 759-7599

    Fax: (954) 888-3813

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $479.

Total Amount is formed as General ($479) + Research ($0) + Ownership ($0) = $479.

Last reported payment date: 2024-03-28 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($260).

Total Amount

$479

General + Research + Ownership

Payments

22

Total payment records

General Amount

$479

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230310000772INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33029)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577472422View full group profile
NameSpecialtyState
-FL
-FL
Orthopedic SurgeryFL
-FL
N E U R O L O G YFL
Critical Care (Intensivists)FL
Nurse PractitionerFL
Hand SurgeryFL
Family PracticeFL
Cardiovascular Disease (Cardiology), Internal MedicineFL

Reviews

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Frequently asked questions

Does NANCY JENNIFER GAVILANES (FNP) have a public NPI I can cite?
Public records show NANCY JENNIFER GAVILANES (FNP) under NPI 1104376722.
Is NANCY JENNIFER GAVILANES (FNP)'s NPI status active today?
Active status means NANCY JENNIFER GAVILANES (FNP)'s NPI record is not deactivated in the public file.
How should patients interpret NANCY JENNIFER GAVILANES (FNP)'s specialty?
The extract shows Family Nurse Practitioner for NANCY JENNIFER GAVILANES (FNP). Clinical services aligned with this taxonomy classification.
Is NANCY JENNIFER GAVILANES (FNP) tied to Pembroke Pines, Florida?
If you are local to Pembroke Pines, Florida, NANCY JENNIFER GAVILANES (FNP) may be relevant to your search.
Can I export NANCY JENNIFER GAVILANES (FNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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