Individual provider Active NPI

Guillermo Gomez Jr., NURSE PRACTIONER

  • Acute Care Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1164814091
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP127082 Issued in TX
Practice address
221 N Kansas St Ste 1501
El Paso, TX 79901-1400
Phone
(915) 546-9200
Fax
(915) 546-9800
NPI assigned
Mar 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP127082 TX Primary

Addresses

Primary practice location

221 N Kansas St Ste 1501
El Paso, TX 79901-1400

Mailing address

221 N Kansas St Ste 1501
El Paso, TX 79901-1400
Phone (915) 546-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20150727001635 TX Practitioner - Nurse Practitioner 8325352933 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso County Hospital DistrictGroup PAC ID 2365431509, 208 clinicians

Practice addresses (Care Compare)

1416 George Dieter Dr
El Paso, TX 79936-7601
Phone (915) 790-5700

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 521-7902

4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 298-5444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Texas, PA CurrentSince Jan 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Aug 20, 2015 Accepting new patients
El Paso County Hospital District CurrentSince Apr 30, 2024 Accepting new patients
El Paso County Hospital District Current Accepting new patients

Locations

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

11801 South Fwy
#I35W
Burleson, TX 76028
Phone (817) 293-4304

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 4

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1164814091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N KANSAS ST STE 1501",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799011400",
            "telephone_number": "915-546-9200",
            "fax_number": "915-546-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N KANSAS ST STE 1501",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799011400",
            "telephone_number": "915-546-9200",
            "fax_number": "915-546-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "GUILLERMO",
        "name_suffix": "Jr.",
        "credential": "NURSE PRACTIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP127082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.