GLORIA I GOMEZ (AGNP-BC) – Nurse Practitioner, NPI 1912193202

GLORIA I GOMEZ (AGNP-BC) is a healthcare provider. based in Orlando, Florida. specializing in Nurse Practitioner. They hold the professional credentials AGNP-BC. They hold a License No. 780058 (TX). The NPI Number for GLORIA I GOMEZ (AGNP-BC) is 1912193202

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
GLORIA I GOMEZ (AGNP-BC)
NPI
1912193202
Phone
(407) 751-7288
Address
6416 OLD WINTER GARDEN RD
Enumeration Date
20 September 2007
Last Update Date
22 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8326674150
Graduation Year
2017 (9 years ago)
PAC ID
6800126210
Group Practice PAC ID
4789950247
Professional Enrollment ID
I20191028003017

Contacts

Secure Messaging
gloria.gomez@centerwell.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness95
Years active:18State licenses:2Other names

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Provider Addresses for GLORIA I GOMEZ (AGNP-BC)

  • Old Winter Garden Road, Orlando, Orange County, Florida, 32805-1100, United States

    ORLANDO, FL 328351348

    Phone: (407) 751-7288

    Fax: (407) 770-0661

    Type: Mailing

  • Gulfgate Center, Houston, Harris County, Texas, United States

    HOUSTON, TX 770873023

    Phone: (281) 846-7209

    Fax: (833) 845-2871

    Type: Location

  • 7838 LONG POINT RD

    HOUSTON, TX 770553621

    Phone: (888) 478-8432

    Type: Mailing

  • 323 S Mason Rd

    Katy, TX 774501746

    Phone: (888) 478-8432

    Type: Location

  • 2505 Aldine Mail Route Rd

    Houston, TX 770395601

    Phone: (888) 478-8432

    Type: Location

  • 320 Southmore Ave Ste 328

    Pasadena, TX 775021135

    Phone: (888) 478-8432

    Type: Location

  • PO BOX 616788

    ORLANDO, FL 328616788

    Phone: (407) 447-7120

    Fax: (407) 770-0661

    Type: Mailing

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: 2019-10-28

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
I20191028003017INurse PractitionerTXTBD

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 32835)

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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: 4789950247View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX
Internal MedicineFL
Family PracticeFL
Internal MedicineTX

Reviews

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Frequently asked questions

Can I verify GLORIA I GOMEZ (AGNP-BC) with an NPI only?
You can start verification with NPI 1912193202 for GLORIA I GOMEZ (AGNP-BC), then check state licensing separately.
Is GLORIA I GOMEZ (AGNP-BC) listed as active for patients and plans?
The listing shows GLORIA I GOMEZ (AGNP-BC) as active in the NPI system.
What is GLORIA I GOMEZ (AGNP-BC)'s specialty?
The listing groups GLORIA I GOMEZ (AGNP-BC) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for GLORIA I GOMEZ (AGNP-BC)?
GLORIA I GOMEZ (AGNP-BC)'s geographic hint is Orlando, Florida in our summary view.
Is the information about GLORIA I GOMEZ (AGNP-BC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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