Individual provider Active NPI

Ruby Annette Gomez, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1821595265
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136882 Issued in TX
Practice address
6204 Balcones Dr
Austin, TX 78731-4214
Phone
(512) 427-9400
Fax
(512) 342-2723
NPI assigned
Apr 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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 AP136882 TX Primary

Addresses

Primary practice location

6204 Balcones Dr
Austin, TX 78731-4214

Mailing address

PO Box 911230
Dallas, TX 75391-3989
Phone (972) 997-8000

Other practice location 1

1401 E 8th St
Weslaco, TX 78596-6640
Phone (833) 887-4863

Other identifiers 2

IdentifierTypeStateIssuer
403746701MedicaidTX
H08LW21701OtherTXBCBS

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
I20190205001170 TX Practitioner - Nurse Practitioner 2163760885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

13915 N Mopac Expy
Suite 100
Austin, TX 78728
Phone (512) 241-0017

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP136882TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Melecia Fuentes MD PA Family Medicine CurrentSince Dec 13, 2019 Accepting new patients
South Texas Valley Pharmacy LLC CurrentSince Feb 2, 2025 Accepting new patients
Texas Oncology PA Current Accepting new patients
Texas Oncology PA CurrentSince Aug 14, 2023 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

12221 Renfert Way
Ste 300
Austin, TX 78758
Phone (512) 873-8900

6204 Balcones Dr
Austin, TX 78731
Phone (512) 302-1771

4106 Medical Pkwy
Austin, TX 78756
Phone (512) 418-1979

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

5401 N G St
Ste 3
McAllen, TX 78504
Phone (956) 217-7000

1206 E 6th St
Weslaco, TX 78596
Phone (956) 447-8377

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

Interoperability endpoints

  • Direct secure messaging: ruby.gomez@txo.ikm.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/13875/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ruby.gomez@415054778073092.direct.elationemr.com

Organizations & group practices 5

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": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1821595265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753913989",
            "telephone_number": "972-997-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6204 BALCONES DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314214",
            "telephone_number": "512-427-9400",
            "fax_number": "512-342-2723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 E 8th St",
            "address_purpose": "LOCATION",
            "city": "Weslaco",
            "state": "TX",
            "postal_code": "785966640",
            "country_code": "US",
            "telephone_number": "833-887-4863",
            "fax_number": "956-296-6857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "RUBY",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403746701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H08LW21701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.