Carson Chanell Gomez, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

196690 Issued in MT

Practice address

704 Main St
Stevensville, MT 59870-2828

Phone

(406) 303-9781

Fax

(888) 440-2614

NPI assigned

Aug 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Carson Chanell Davila Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV, MT2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bitterroot Health - Daly Hospital Hospital, Hamilton, MT, CCN 271340

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AJCHDD/Endpoint/AJCHDD

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.

• Mountainside Medical, LLC

  • Adult Health Nurse Practitioner
  • Stevensville, MT
  • NPI 1487482543

  Adult Health, MT

  Medicare reassignment NPD Authorized official
• Nevada Acute Medical Services-Scherr 1 PC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1992244438

  NV

  Medicare reassignment NPD
• Sound Physicians Emergency Medicine of Nevada Bessler PLLC

  • Emergency Medicine Physician
  • Sparks, NV
  • NPI 1881151231

  NV

  Medicare reassignment NPD
• Comprehensive Urgent Care

  • Urgent Care Clinic/Center
  • Las Vegas, NV
  • NPI 1578478673
  NPD (past)
• Spring Valley Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1154481984
  NPD (past)

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

• Marcus Daly Memorial Hospital Corporation

  • Critical Access Hospital
  • Hamilton, MT
  • NPI 1659475846

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1750806121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 MAIN ST",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702828",
            "telephone_number": "406-303-9781",
            "fax_number": "888-440-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 MAIN ST",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598702828",
            "telephone_number": "406-303-9781",
            "fax_number": "888-440-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "CARSON",
        "middle_name": "CHANELL",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MT",
            "license": "196690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carson.gomez@msm.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "704 Main St",
            "city": "Stevensville",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598702828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARSON",
            "last_name": "DAVILA",
            "middle_name": "CHANELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Ann Frost, PHARMD
• Anna Christine Fuller, MSOT, OTR/L
• Heather Marie Garnett, LMT
• Ashley E Gillespie, LCPC
• Bernadette A Glasser, FNP
• Lonnie Lee Gribnau, L.C.P.C.
• Adrienne Elizabeth Gross
• Daniel Joseph Gross, MD
• Guardian Healthcare Centers
• Hannah Georgia Hall

• All providers in Stevensville, MT
• Adult Health Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.