NANCY JENNIFER GAVILANES (FNP) – Family Nurse Practitioner, NPI 1104376722
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| MAYNE PHARMA COMMERCIAL LLC | $260 |
| ABBVIE INC. | $75 |
| Shield Therapeutics Inc | $63 |
| Dilon Technologies, Inc. | $23 |
| SHIELD THERAPEUTICS INC | $23 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230310000772 | I | Nurse Practitioner | FL | TBD |
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.
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
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| Orthopedic Surgery | FL | |
| - | FL | |
| N E U R O L O G Y | FL | |
| Critical Care (Intensivists) | FL | |
| Nurse Practitioner | FL | |
| Hand Surgery | FL | |
| Family Practice | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL |
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