NATALIE GOMEZ-EVANS – Nurse Practitioner, NPI 1043778699

NATALIE GOMEZ-EVANS is a healthcare provider. based in Grand blanc, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704260334 (MI). The NPI Number for NATALIE GOMEZ-EVANS is 1043778699

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
NATALIE GOMEZ-EVANS
NPI
1043778699
Phone
(810) 606-6208
Address
1 GENESYS PKWY
Enumeration Date
2 March 2019
Last Update Date
3 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774483627
Graduation Year
2018 (8 years ago)
PAC ID
5991047409
Group Practice PAC ID
3072425784
Professional Enrollment ID
I20190503000080
Address ID
MI488643679OK2549XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for NATALIE GOMEZ-EVANS

  • Genesys Regional Medical Center, 1, Genesys Parkway, Genesee County, Michigan, 48439, United States

    GRAND BLANC, MI 484398065

    Phone: (810) 606-6208

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-05-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20190503000080INurse PractitionerMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48439)

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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: 3072425784View full group profile
NameSpecialtyState
-IL
Nurse PractitionerMI
-IL
Infectious DiseaseIL
Emergency Medicine, Family PracticeTN
Physician AssistantIL
Nurse PractitionerIL
-IL
Nurse PractitionerFL
Physician AssistantIL

Reviews

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Frequently asked questions

Can I use this page to confirm NATALIE GOMEZ-EVANS's NPI?
Yes. NATALIE GOMEZ-EVANS is listed with NPI 1043778699 in the public NPI dataset.
Does CMS list NATALIE GOMEZ-EVANS as active?
Yes — NATALIE GOMEZ-EVANS is active in the NPI listing used on this page.
What is NATALIE GOMEZ-EVANS best known for clinically?
Directory data describes NATALIE GOMEZ-EVANS with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does NATALIE GOMEZ-EVANS serve?
NATALIE GOMEZ-EVANS's listing highlights Grand Blanc, Michigan; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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