Active NPI
Jessica Ann Gomez, N.P
- Family Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP134510
- Practice address
- 5206 Research Dr
San Antonio, TX 78240-5251 - Phone
- (210) 595-5300
- Fax
- (210) 595-5301
- NPI assigned
- Oct 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP134510 | TX | Primary |
Addresses
Primary practice location
5206 Research Dr
San Antonio, TX 78240-5251
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 378736802 | Medicaid | TX |
Other names 1
- Jessica Perreau
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5206 Research Dr
San Antonio, TX 78240-5251
Phone (210) 595-5300
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 67.48
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP134510 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Texas Oncology PA | Current | Accepting new patients | |
| Texas Oncology PA | Current | Accepting new patients |
Locations
4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200
1201 E Schuster Ave
Bldg 7
El Paso, TX 79902
Phone (915) 229-6448
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
5206 Research Dr
San Antonio, TX 78240
Interoperability endpoints
- jessica.perreau@txo.ikm.direct-ci.com
Organizations & group practices 5
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.
-
- Medical Oncology Physician
- El Paso, TX
- NPI 1811944101
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
-
- Medical Oncology Physician
- Pearland, TX
- NPI 1912174350
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1457913444
-
- Obstetrics & Gynecology Physician
- El Paso, TX
- NPI 1568564789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1174033799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911230",
"city": "DALLAS",
"state": "TX",
"postal_code": "753911230",
"telephone_number": "972-997-8000",
"fax_number": "972-234-2987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5206 RESEARCH DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782405251",
"telephone_number": "210-595-5300",
"fax_number": "210-595-5301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "JESSICA",
"middle_name": "ANN",
"credential": "N.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-10",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP134510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "378736802",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "PERREAU",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.