Marie Madeleine Gomez, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN.0999132 Issued in CO

Practice address

2801 Purcell St
Brighton, CO 80601-3551

Phone

(303) 558-0515

NPI assigned

Nov 14, 2023

Last updated

Feb 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Colorado School of Medicine, Denver, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Longs Peak Hospital Hospital, Longmont, CO, CCN 060128

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1922/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/4045/brand/3/csg/61/fhir/r4
• Direct secure messaging: marie.gomez.1@4045.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Poudre Valley Medical Group, LLC

  dba UCHealth Medical Group

  • General Practice Physician
  • Loveland, CO
  • NPI 1225356868

  Urgent Care

  Medicare reassignment Care Compare group NPD
• Advanced Urgent Care LLC

  dba Advanced Urgent Care and Occupational Medicine

  • Urgent Care Clinic/Center
  • Brighton, CO
  • NPI 1841579703
  Medicare reassignment NPD
• Platte River Medical Clinic LLC

  • Family Medicine Physician
  • Brighton, CO
  • NPI 1477667244
  NPD
• Poudre Valley Medical Group, LLC

  dba UCHealth Medical Group

  • General Practice Physician
  • Loveland, CO
  • NPI 1366763260
  NPD
• Advanced Urgent Care LLC

  dba Advanced Urgent Care and Occupational Medicine

  • Urgent Care Clinic/Center
  • Northglenn, CO
  • NPI 1902264229
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Longs Peak Hospital

  • General Acute Care Hospital
  • Longmont, CO
  • NPI 1154876985
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1114791712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 34TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032413",
            "telephone_number": "434-989-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PURCELL ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806013551",
            "telephone_number": "303-558-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "MARIE",
        "middle_name": "MADELEINE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0999132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Girls Only Ministry (Justice61)
• Girls Only Ministry (Justice61)
• John C Godfrey, DC
• Miriam Goldstein, M.S., CCC-SLP
• Nina Gomenyuk, DDS
• Amanda Gonsalves, FNP-C
• Adina Gonzales, SLP-CCC
• Erma Gonzalez, RN
• Mary Gore
• Bryan Lee Goree, DNP, RN, FNP-C

• Nurse Practitioner in Brighton, CO
• Providers in Brighton, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.