KIMBERLY MICHELLE GOMEZ (MSN, APRN, FNP-C) – Family Nurse Practitioner, NPI 1164936621

KIMBERLY MICHELLE GOMEZ (MSN, APRN, FNP-C) is a healthcare provider. based in Folkston, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, FNP-C. They hold a License No. ARNP9301655 (FL). The NPI Number for KIMBERLY MICHELLE GOMEZ (MSN, APRN, FNP-C) is 1164936621

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY MICHELLE GOMEZ (MSN, APRN, FNP-C)
NPI
1164936621
Phone
(912) 496-0041
Address
3435 SECOND ST S
Enumeration Date
20 November 2017
Last Update Date
19 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9127296821
Graduation Year
2017 (9 years ago)
PAC ID
0941558902
Group Practice PAC ID
9133025869
Professional Enrollment ID
I20180807003658
Address ID
GA315580000ST201XXPOIN400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:8State licenses:2Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for KIMBERLY MICHELLE GOMEZ (MSN, APRN, FNP-C)

  • 3435 SECOND ST S

    FOLKSTON, GA 315378447

    Phone: (912) 496-0041

    Type: Mailing

  • 1601 Hwy 40 E

    Ste M

    Kingsland, GA 31548

    Phone: (912) 409-0744

    Type: Location

  • E, Raven Meadows, Frankwell, Shrewsbury, Shropshire, West Midlands, England, SY1 1PE, United Kingdom

    STE M

    KINGSLAND, GA 31548

    Phone: (912) 409-0744

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $160.

Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Abbott Laboratories ($142).

Total Amount

$160

General + Research + Ownership

Payments

3

Total payment records

General Amount

$160

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-04-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180807003658INurse PractitionerGATBD
I20190418000924INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes548299$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function236235$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing198170$0
99213Established patient office or other outpatient visit, 20-29 minutes5749$0
99204New patient office or other outpatient visit, 45-59 minutes5151$0
View full utilization report →

Insurance plans in this area (ZIP 31537)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133025869View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
-MN
Physician AssistantFL
Internal MedicineFL
-FL
Clinical PsychologistFL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
Nurse PractitionerFL
Nurse PractitionerGA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for KIMBERLY MICHELLE GOMEZ (MSN, APRN, FNP-C)?
KIMBERLY MICHELLE GOMEZ (MSN, APRN, FNP-C) — NPI 1164936621 — is the standard way to identify this listing.
Is KIMBERLY MICHELLE GOMEZ (MSN, APRN, FNP-C) listed as active for patients and plans?
The listing shows KIMBERLY MICHELLE GOMEZ (MSN, APRN, FNP-C) as active in the NPI system.
What is KIMBERLY MICHELLE GOMEZ (MSN, APRN, FNP-C)'s specialty?
The listing groups KIMBERLY MICHELLE GOMEZ (MSN, APRN, FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect KIMBERLY MICHELLE GOMEZ (MSN, APRN, FNP-C) on a map?
Expect Folkston, Georgia as a primary anchor for KIMBERLY MICHELLE GOMEZ (MSN, APRN, FNP-C) unless the record lists multiple sites.
Is the information about KIMBERLY MICHELLE GOMEZ (MSN, APRN, FNP-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

ROBIN C ROGERS (MSN,FNP-BC,ANP,RN)

Family Nurse Practitioner
Second Street, Layton, Folkston, Charlton County, Georgia, 31537, United States
NPI: 1124093687

MRS. ANGELA DAWN JOHNSON (APRN)

Family Nurse Practitioner
2383 THIRD ST
NPI: 1487858650

JAMES CUTIA (NP)

Family Nurse Practitioner
218 QUARTERMAN ST
NPI: 1801182100
11580, Young Road, Jacksonville, Duval County, Florida, 32218, United States
NPI: 1699204966

MRS. LAURINE PORTER JONES (FNP)

Psychiatric/Mental Health Nurse Practitioner
3026 HWY 252
NPI: 1932624053

MORGAN MIZELL ELDRIDGE (APRN)

Family Nurse Practitioner
2383 THIRD ST
NPI: 1639660087

JENNIFER NICOLE KELLEY (FNP-C)

Family Nurse Practitioner
218 QUARTERMAN ST
NPI: 1407486954

KYLIE SPARKS (NP)

Family Nurse Practitioner
308 RIDGE HILL TRL
NPI: 1376211656
7901 4th St N Ste 300
NPI: 1245982040