Individual provider Active NPI

Mary Gomez, APRN

  • Gerontology Clinical Nurse Specialist
  • Austin, TX
National Provider Identifier
1861878464
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
AP128510 Issued in TX
Practice address
6907 N Capital of Texas Hwy Ste 240
Austin, TX 78731-1710
Phone
(737) 346-3494
Fax
(737) 346-3500
NPI assigned
Aug 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Clinical Nurse Specialist 364SG0600X AP128510 TX Primary

Addresses

Primary practice location

6907 N Capital of Texas Hwy Ste 240
Austin, TX 78731-1710

Mailing address

6907 N Capital of Texas Hwy Ste 240
Austin, TX 78731-1710
Phone (737) 346-3494

Other practice location 1

1004 W 32nd St Ste 400
Austin, TX 78705-1915
Phone (512) 454-5171

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
I20150929001390 TX Practitioner - Nurse Practitioner 8527376375 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Geriatric Specialists, PLLC CurrentSince Jul 15, 2015 Accepting new patients
Wellmed Networks, Inc. CurrentSince Mar 1, 2021 Accepting new patients

Locations

11406 Rustic Rock Dr
Austin, TX 78750
Phone (512) 251-3915

2200 Park Bend Dr
Ste 300
Austin, TX 78758
Phone (512) 371-6398

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/25850/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1861878464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6907 N CAPITAL OF TEXAS HWY STE 240",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311710",
            "telephone_number": "737-346-3494",
            "fax_number": "737-346-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6907 N CAPITAL OF TEXAS HWY STE 240",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311710",
            "telephone_number": "737-346-3494",
            "fax_number": "737-346-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 W 32nd St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051915",
            "country_code": "US",
            "telephone_number": "512-454-5171",
            "fax_number": "512-454-0704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "MARY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "TX",
            "license": "AP128510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.