GREGORY RAFAEL DISLA (FNP-C) – Family Nurse Practitioner, NPI 1376197541

GREGORY RAFAEL DISLA (FNP-C) is a healthcare provider. based in Riverview, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. APRN11003473 (FL). The NPI Number for GREGORY RAFAEL DISLA (FNP-C) is 1376197541

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY RAFAEL DISLA (FNP-C)
NPI
1376197541
Phone
(813) 740-8463
Address
5905 US Highway 301 S
Enumeration Date
26 July 2019
Last Update Date
4 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8139354744
Graduation Year
2019 (7 years ago)
PAC ID
4486072170
Group Practice PAC ID
8325383052
Professional Enrollment ID
I20200911002087
Address ID
FL336076371TA2901XSTXX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for GREGORY RAFAEL DISLA (FNP-C)

  • 5905 US Highway 301 S

    Riverview, FL 335783800

    Phone: (813) 740-8463

    Type: Location

  • 2901 W Saint Isabel St Ste F

    Tampa, FL 336076371

    Phone: (813) 935-4744

    Fax: (813) 931-1427

    Type: Location

  • 216 S SEMINOLE AVE

    INVERNESS, FL 344524738

    Phone: (352) 560-0333

    Fax: (813) 931-1427

    Type: Location

  • Riverview, Rushington, Totton and Eling, Hounsdown, New Forest, Hampshire, South East, England, SO40 9JR, United Kingdom

    RIVERVIEW, FL 335783800

    Phone: (813) 740-8463

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $583.

Total Amount is formed as General ($583) + Research ($0) + Ownership ($0) = $583.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($364).

Total Amount

$583

General + Research + Ownership

Payments

8

Total payment records

General Amount

$583

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

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: 2020-09-11

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
I20200911002087INurse 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 33578)

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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: 8325383052View full group profile
NameSpecialtyState
General PracticeFL
-FL
Internal MedicineFL
Internal MedicineFL

Reviews

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Frequently asked questions

What federal number belongs to GREGORY RAFAEL DISLA (FNP-C)?
The federal identifier for GREGORY RAFAEL DISLA (FNP-C) is NPI 1376197541.
Is GREGORY RAFAEL DISLA (FNP-C) currently active in the NPI registry?
CMS-published data lists GREGORY RAFAEL DISLA (FNP-C) as an active registrant.
Does GREGORY RAFAEL DISLA (FNP-C) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for GREGORY RAFAEL DISLA (FNP-C). Clinical services aligned with this taxonomy classification.
Where is GREGORY RAFAEL DISLA (FNP-C)'s primary listing?
We display Riverview, Florida because that is what the record indicates for GREGORY RAFAEL DISLA (FNP-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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