Individual provider Active NPI

Keren Gomez, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1639808397
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1077701 Issued in TX
Practice address
836 E Redd Rd
El Paso, TX 79912-7221
Phone
(915) 833-8444
NPI assigned
Jun 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1077701 TX Primary

Addresses

Primary practice location

836 E Redd Rd
El Paso, TX 79912-7221

Mailing address

512 Valley Plum Ave
El Paso, TX 79932-4403

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
I20230302001875 TX Practitioner - Nurse Practitioner 0547633091 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Carenow Urgent Care, PLLCGroup PAC ID 2961742168, 24 clinicians
St Davids Carenow Urgent Care PLLCGroup PAC ID 4284918418, 101 clinicians
Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

10765 Kenworthy St
Suite a
El Paso, TX 79924-1748
Phone (915) 320-4021

1205 S Interstate 35
Georgetown, TX 78626-5410
Phone (512) 942-2535

4669 Cohen Ave
El Paso, TX 79924-4415
Phone (915) 544-1200

Hospital & facility affiliations

  • University Medical Center of El Paso Hospital, El Paso, TX, CCN 450024

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1077701TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. David'S Carenow Urgent Care PLLC CurrentSince May 28, 2025 Accepting new patients
El Paso Carenow Urgent Care, PLLC CurrentSince May 1, 2024 Accepting new patients
Cep America LLC CurrentSince Jan 27, 2023 Accepting new patients
Cep America LLC CurrentSince Jan 27, 2023 Accepting new patients
Andres S Enriquez MD PA PastSince Jun 12, 2022 Accepting new patients
Horizon Pediatric Night Clinic PastSince Jun 12, 2022 Accepting new patients
Cep America - California Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

5033 W Highway 290
Austin, TX 78735
Phone (512) 265-8980

5001 183A Toll Rd
Ste R100
Cedar Park, TX 78613
Phone (512) 595-7000

1521 Joe Battle Blvd
Ste B
El Paso, TX 79936
Phone (915) 521-7798

10765 Kenworthy St
Ste A
El Paso, TX 79924
Phone (915) 308-2060

1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365

Organizations & group practices 7

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": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1639808397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 VALLEY PLUM AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799324403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 E REDD RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127221",
            "telephone_number": "915-833-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "KEREN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1077701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.