Individual provider Active NPI

Patricia Garcia Gomez, FNP

  • Family Nurse Practitioner
  • Del Rio, TX
National Provider Identifier
1750913299
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144860 Issued in TX
Practice address
913 S Main St
Del Rio, TX 78840-5807
Phone
(830) 774-5534
Fax
(830) 774-0890
NPI assigned
Feb 11, 2020
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP144860 TX Primary
Registered Nurse 163W00000X 725146 TX

Addresses

Primary practice location

913 S Main St
Del Rio, TX 78840-5807

Mailing address

PO Box 1470
Eagle Pass, TX 78853-1470
Phone (830) 773-8917

Other identifiers 1

IdentifierTypeStateIssuer
F01200103OtherTXAMERICAN ACADEMY OF NURSE PRACTITIONERS-CERTIFICATION BOARD

Other names 1

  • Patricia Garcia Gomez Professional name

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
I20200423002287 TX Practitioner - Nurse Practitioner 1759672728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doorstep Procare Management LLCGroup PAC ID 8527366889, 11 clinicians

Practice addresses (Care Compare)

2944 Motley Dr
Suite 401
Mesquite, TX 75150-3464
Phone 9722892273107

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
725146TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Doorstep Procare Management LLC CurrentSince Dec 29, 2023 Accepting new patients
United Medical Centers Family CurrentSince Mar 23, 2020 Accepting new patients
United Medical Centers Family CurrentSince Mar 23, 2020 Accepting new patients

Locations

913 S Main St
Del Rio, TX 78840
Phone (830) 774-5534

2525 N Veterans Blvd
Eagle Pass, TX 78852
Phone (830) 773-5358

2944 Motley Dr
Ste 401
Mesquite, TX 75150
Phone (972) 289-2273

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1750913299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1470",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788531470",
            "telephone_number": "830-773-8917",
            "fax_number": "830-773-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 S MAIN ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788405807",
            "telephone_number": "830-774-5534",
            "fax_number": "830-774-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "PATRICIA",
        "middle_name": "GARCIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144860",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "725146",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS-CERTIFICATION BOARD",
            "identifier": "F01200103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "GOMEZ",
            "middle_name": "GARCIA",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Del Rio, TX

Sources for this page

Verify at the official NPI Registry.