Individual provider Active NPI

Michelle Evelyn Gomez, FNP

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1710439641
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10811 Issued in AZ
Practice address
9241 E Cadence Pkwy Ste 101
Mesa, AZ 85212-0021
Phone
(480) 626-7203
NPI assigned
Oct 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X AP10811 AZ Primary

Addresses

Primary practice location

9241 E Cadence Pkwy Ste 101
Mesa, AZ 85212-0021

Mailing address

1066 N Power Rd # Suie101
Mesa, AZ 85205-5709
Phone (480) 807-0130

Other practice location 1

10719 E Posada Ave
Mesa, AZ 85212-1878
Phone (480) 889-4734

Other practice location 2

2200 E Williams Field Rd Ste 200
Gilbert, AZ 85295
Phone (480) 452-3399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20180710003956 AZ Practitioner - Nurse Practitioner 7911253679 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians
Jewish Family and Childrens ServiceGroup PAC ID 9234028671, 30 clinicians

Practice addresses (Care Compare)

1066 N Power Rd
Suite 101
Mesa, AZ 85205-5709
Phone (480) 807-0130

1683 E Florence Blvd
Suite 7
Casa Grande, AZ 85122-4813
Phone (520) 876-0800

20236 N John Wayne Pkwy
Suite 100
Maricopa, AZ 85139-2911
Phone (520) 518-7510

2080 W Southern Ave
BLDG A1
Apache Junction, AZ 85120-7653
Phone (480) 985-0172

5369 S Calle Santa Cruz
Suite 145
Tucson, AZ 85706-3963
Phone (520) 573-7500

880 N Colorado St
Gilbert, AZ 85233-3419
Phone (480) 820-0825

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

9241 E Cadence Pkwy
Suite 101
Mesa, AZ 85212-0021
Phone (480) 626-7203

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona I JV LLC CurrentSince Feb 27, 2024 Accepting new patients
Kmtrask, PLLC CurrentSince Jun 1, 2018 Accepting new patients
Nextcare Arizona LLC CurrentSince Sep 7, 2019 Accepting new patients

Locations (25 of 45)

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

13075 W McDowell Rd
Ste D106
Avondale, AZ 85392
Phone (623) 547-0522

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

1155 W Ocotillo Rd
Ste 4
Chandler, AZ 85248
Phone (480) 374-7400

600 S Dobson Rd
Ste C26
Chandler, AZ 85224
Phone (480) 814-1560

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

399 S Malpais Ln
Ste 100
Flagstaff, AZ 86001
Phone (928) 286-8830

6343 S Higley Rd
Gilbert, AZ 85298
Phone (480) 748-2712

2200 E Williams Field Rd
Ste 200
Gilbert, AZ 85295
Phone (480) 452-3399

5410 W Thunderbird Rd
Ste 101
Glendale, AZ 85306
Phone (602) 530-6189

18589 N 59th Ave
Ste 101
Glendale, AZ 85308
Phone (602) 547-2600

10240 N 43rd Ave
Ste 3
Glendale, AZ 85302
Phone (623) 742-2060

9494 W Northern Ave
Ste 101
Glendale, AZ 85305
Phone (623) 872-2226

17688 W Elliot Rd
Goodyear, AZ 85338
Phone (623) 889-6823

1810 Mesquite Ave
Ste B
Lk Havasu Cty, AZ 86403
Phone (928) 453-4600

9241 E Cadence Pkwy
Ste 101
Mesa, AZ 85212
Phone (480) 626-7203

535 E McKellips Rd
Ste 101
Mesa, AZ 85203
Phone (480) 636-7855

1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130

2550 N Thunderbird Cir
Ste 303
Mesa, AZ 85215
Phone (480) 289-7890

298 W Mariposa Rd
Ste 2
Nogales, AZ 85621
Phone (520) 394-7388

20470 N Lake Pleasant Rd
Ste 102
Peoria, AZ 85382
Phone (623) 825-4600

3931 E Camelback Rd
Phoenix, AZ 85018
Phone (602) 687-7858

3229 E Greenway Rd
Ste 102
Phoenix, AZ 85032
Phone (602) 788-3285

8101 N 19th Ave
Ste A
Phoenix, AZ 85021
Phone (602) 845-4505

Interoperability endpoints

  • Direct secure messaging: michelle.gomezfnp.p1@direct.nextcare.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1710439641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 N POWER RD # SUIE101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852055709",
            "telephone_number": "480-807-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9241 E CADENCE PKWY STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852120021",
            "telephone_number": "480-626-7203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10719 E Posada Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852121878",
            "country_code": "US",
            "telephone_number": "480-889-4734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 E Williams Field Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "85295",
            "country_code": "US",
            "telephone_number": "480-452-3399",
            "fax_number": "480-452-1607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "MICHELLE",
        "middle_name": "EVELYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.