Ashley Michelle Gomez, NP

Individual provider Active NPI Adult Health Nurse Practitioner · Phoenix, AZ

NPI 1821384934 · NPPES record last updated Jul 24, 2015

Key facts

NPI
1821384934
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
AP4102 (AZ)
Practice address
3003 N Central Ave
Suite 800
Phoenix, AZ 85012-2902
Phone
(602) 663-3584
NPI assigned
Jun 27, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100 (group)
Quality
78.73
Promoting interoperability
98
Improvement activities
40
Cost
62.46

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP4102AZMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC Nurse Practitioner Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP4102 AZ Yes

Addresses

Primary practice location

3003 N Central Ave
Suite 800
Phoenix, AZ 85012-2902

Mailing address

3003 N Central Ave
Suite 800
Phoenix, AZ 85012-2902
Phone (602) 663-3584

Other identifiers

IdentifierTypeStateIssuer
623259MedicaidAZ

Other names

  • Miss Ashley Michelle Waters Former name

Other providers in Phoenix, AZ

All providers in Phoenix, AZ · Adult Health Nurse Practitioner in Arizona

Sources for this page

Verify at the official NPI Registry.