Active NPI
Ruby Annette Gomez, MSN, APRN, FNP-BC
- Family Nurse Practitioner
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP136882
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 403746701 | Medicaid | TX | |
| H08LW21701 | Other | TX | BCBS |
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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| AP136882 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melecia Fuentes MD PA | Family Medicine | Current | Accepting new patients |
| South Texas Valley Pharmacy LLC | Current | Accepting new patients | |
| Texas Oncology PA | Current | Accepting new patients | |
| Texas Oncology PA | Current | 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
- ruby.gomez@txo.ikm.direct-ci.com
- https://api.platform.athenahealth.com/13875/brand/1/csg/1/fhir/r4
- 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.
-
- Medical Oncology Physician
- El Paso, TX
- NPI 1811944101
-
- Family Medicine Physician
- Weslaco, TX
- NPI 1396844296
-
dba South Texas Valley Pharmacy
- Community/Retail Pharmacy
- McAllen, TX
- NPI 1841650314
-
- Medical Oncology Physician
- Pearland, TX
- NPI 1912174350
-
- Physiological Laboratory
- Harlingen, TX
- NPI 1689330649
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.