KENIA ROJAS GONGORA (FNP) – Family Nurse Practitioner, NPI 1285428763

KENIA ROJAS GONGORA (FNP) is a healthcare provider. based in Oakland park, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 11038802 (FL). The NPI Number for KENIA ROJAS GONGORA (FNP) is 1285428763

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
KENIA ROJAS GONGORA (FNP)
NPI
1285428763
Phone
(305) 763-6972
Address
120 NW 42ND ST APT 4
Enumeration Date
8 April 2025
Last Update Date
8 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9547714271
Graduation Year
2024 (2 years ago)
PAC ID
5193243004
Group Practice PAC ID
1254414675
Professional Enrollment ID
I20250514003573
Address ID
FL333084510FT4800XTERX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for KENIA ROJAS GONGORA (FNP)

  • 120 NW 42ND ST APT 4

    OAKLAND PARK, FL 333094761

    Phone: (305) 763-6972

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-05-14

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
I20250514003573INurse 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 33309)

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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: 1254414675View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YNY
O P T O M E T R YFL
O P H T H A L M O L O G YTX
O P T O M E T R YFL
O P H T H A L M O L O G YWI
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

Does KENIA ROJAS GONGORA (FNP) have a public NPI I can cite?
Public records show KENIA ROJAS GONGORA (FNP) under NPI 1285428763.
Should I treat KENIA ROJAS GONGORA (FNP) as an active provider?
Patients and plans typically see KENIA ROJAS GONGORA (FNP) as active in the national extract.
Which specialty label fits KENIA ROJAS GONGORA (FNP)?
NPPES ties KENIA ROJAS GONGORA (FNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to KENIA ROJAS GONGORA (FNP)?
KENIA ROJAS GONGORA (FNP) shows a connection to Oakland Park, Florida in registry-derived data.
Can I export KENIA ROJAS GONGORA (FNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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