LOURDES BERNARDETE LOZANO GONZALEZ – Psychiatric/Mental Health Nurse Practitioner, NPI 1396433728

LOURDES BERNARDETE LOZANO GONZALEZ is a healthcare provider. based in Tampa, Florida. specializing in NURSE PRACTITIONER. They hold a License No. RN9551104 (FL). The NPI Number for LOURDES BERNARDETE LOZANO GONZALEZ is 1396433728

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
LOURDES BERNARDETE LOZANO GONZALEZ
NPI
1396433728
Phone
(813) 636-8811
Address
4107 W SPRUCE ST STE 100
Enumeration Date
25 April 2023
Last Update Date
16 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8136368811
Graduation Year
2023 (3 years ago)
PAC ID
4284089178
Group Practice PAC ID
5698936037
Professional Enrollment ID
I20231012002193
Address ID
FL336072346TA4107XSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:3State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for LOURDES BERNARDETE LOZANO GONZALEZ

  • 4107 W SPRUCE ST STE 100

    TAMPA, FL 336072346

    Phone: (813) 636-8811

    Fax: (813) 636-8855

    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)

CMS reports 16 Open Payments records for all available years, with a total value of $353.

Total Amount is formed as General ($353) + Research ($0) + Ownership ($0) = $353.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Alkermes, Inc. ($74).

Total Amount

$353

General + Research + Ownership

Payments

16

Total payment records

General Amount

$353

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2023-10-12

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
I20231012002193INurse 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 33607)

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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: 5698936037View full group profile
NameSpecialtyState
Nurse PractitionerFL
P S Y C H I A T R YFL
Nurse PractitionerFL
Mental Health CounselorFL
-FL
Mental Health CounselorFL
-FL
Nurse PractitionerFL
Nurse PractitionerFL
Mental Health CounselorFL

Reviews

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Frequently asked questions

What NPI should I save for LOURDES BERNARDETE LOZANO GONZALEZ?
Save NPI 1396433728 if you need a stable reference for LOURDES BERNARDETE LOZANO GONZALEZ.
Is LOURDES BERNARDETE LOZANO GONZALEZ's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does LOURDES BERNARDETE LOZANO GONZALEZ list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for LOURDES BERNARDETE LOZANO GONZALEZ. Clinical services aligned with this taxonomy classification.
What location shows for LOURDES BERNARDETE LOZANO GONZALEZ?
We surface Tampa, Florida for LOURDES BERNARDETE LOZANO GONZALEZ based on available NPPES addresses.
Is LOURDES BERNARDETE LOZANO GONZALEZ a real provider?
This page reflects official NPPES data for NPI 1396433728. Always confirm identity and privileges with the practice and licensing boards.

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