ADRIANA GOMEZ (PA-C) – Physician Assistant, NPI 1508188921

ADRIANA GOMEZ (PA-C) is a healthcare provider. based in Jacksonville, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9105156 (FL). The NPI Number for ADRIANA GOMEZ (PA-C) is 1508188921

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
ADRIANA GOMEZ (PA-C)
NPI
1508188921
Phone
(904) 542-7344
Address
2080 CHILD ST DEPT 5000
Enumeration Date
26 February 2010
Last Update Date
16 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043457373
Graduation Year
2009 (17 years ago)
PAC ID
0648450080
Group Practice PAC ID
1658335328
Professional Enrollment ID
I20110202000414
Address ID
FL322164312JA3901XSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for ADRIANA GOMEZ (PA-C)

  • 2080 CHILD ST DEPT 5000

    JACKSONVILLE, FL 322145000

    Phone: (904) 542-7344

    Type: Mailing

  • Lyster Army Health Clinic, 301, Andrews Avenue, Dale County, Alabama, 36362, United States

    FORT RUCKER, AL 36362

    Phone: (334) 255-7743

    Fax: (334) 255-7010

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $950.

Total Amount is formed as General ($950) + Research ($0) + Ownership ($0) = $950.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($689).

Total Amount

$950

General + Research + Ownership

Payments

28

Total payment records

General Amount

$950

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2011-02-02

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
I20110202000414IPhysician AssistantFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 32214)

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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: 1658335328View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationPA
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerFL
Physical Medicine And RehabilitationMI
Nurse PractitionerFL
-FL
Nurse PractitionerAE
Nurse PractitionerGA
-FL

Reviews

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Frequently asked questions

What unique ID ties claims to ADRIANA GOMEZ (PA-C)?
NPI 1508188921 is assigned to ADRIANA GOMEZ (PA-C) under the national enumeration system.
Is ADRIANA GOMEZ (PA-C) active in the national directory?
ADRIANA GOMEZ (PA-C)'s public NPI profile is in an active state.
Does ADRIANA GOMEZ (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for ADRIANA GOMEZ (PA-C). Clinical services aligned with this taxonomy classification.
Where is ADRIANA GOMEZ (PA-C)'s primary listing?
We display Jacksonville, Florida because that is what the record indicates for ADRIANA GOMEZ (PA-C).
Is ADRIANA GOMEZ (PA-C) a real provider?
This page reflects official NPPES data for NPI 1508188921. Always confirm identity and privileges with the practice and licensing boards.

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