CAMILO GOMEZ LEON (APRN) – Case Management Agency, NPI 1548845282

CAMILO GOMEZ LEON (APRN) is a healthcare provider. based in Miami, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11030249 (FL). The NPI Number for CAMILO GOMEZ LEON (APRN) is 1548845282

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
CAMILO GOMEZ LEON (APRN)
NPI
1548845282
Phone
(786) 333-6504
Address
14334 SW 177TH ST
Enumeration Date
15 March 2021
Deactivation Date
12 January 2024
Reactivation Date
11 March 2024
Last Update Date
4 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3052848483
Graduation Year
2023 (3 years ago)
PAC ID
8426593856
Group Practice PAC ID
7810012655
Professional Enrollment ID
I20240710002629
Address ID
FL331731492MI7000XAVEX409
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:5State licenses:2Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for CAMILO GOMEZ LEON (APRN)

  • 14334 SW 177TH ST

    MIAMI, FL 331772620

    Phone: (786) 333-6504

    Type: Mailing

  • 8261 NW 8TH ST APT 331

    MIAMI, FL 331263965

    Phone: (786) 333-6504

    Type: Mailing

  • 6303 BIRD RD

    MIAMI, FL 331554825

    Phone: (786) 216-7382

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2024-07-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240710002629INurse 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 33177)

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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: 7810012655View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
General PracticeFL
Nurse PractitionerFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I use this page to confirm CAMILO GOMEZ LEON (APRN)'s NPI?
Yes. CAMILO GOMEZ LEON (APRN) is listed with NPI 1548845282 in the public NPI dataset.
Does the file indicate CAMILO GOMEZ LEON (APRN) is practicing under active NPI?
Directory data currently reports CAMILO GOMEZ LEON (APRN) as active.
What taxonomy line describes CAMILO GOMEZ LEON (APRN)?
For research purposes, treat CAMILO GOMEZ LEON (APRN) as Case Management Agency in this dataset. Clinical services aligned with this taxonomy classification.
Where is CAMILO GOMEZ LEON (APRN) based?
CAMILO GOMEZ LEON (APRN) is tied to Miami, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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