BLANCA GOMEZ – Family Nurse Practitioner, NPI 1164807780

BLANCA GOMEZ is a healthcare provider. based in Rancho viejo, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP128359 (TX). The NPI Number for BLANCA GOMEZ is 1164807780

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
BLANCA GOMEZ
NPI
1164807780
Phone
(956) 247-7000
Address
3500 CARMEN AVE APT 1408
Enumeration Date
24 July 2015
Last Update Date
24 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7135127500
Graduation Year
2015 (11 years ago)
PAC ID
3274800321
Group Practice PAC ID
4688999022
Professional Enrollment ID
I20241204004026
Address ID
TX770542935HO7900XSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for BLANCA GOMEZ

  • 3500 CARMEN AVE APT 1408

    RANCHO VIEJO, TX 785759577

    Phone: (956) 247-7000

    Fax: (956) 361-0854

    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: 2024-12-04

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
I20241204004026INurse PractitionerTXTBD

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 78575)

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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: 4688999022View full group profile
NameSpecialtyState
-TX
Family PracticeTX
Nurse PractitionerTX
Family PracticeTX
-TX
Physician AssistantTX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX
Family Practice, Geriatric MedicineTX
-TX

Reviews

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Frequently asked questions

What is the registry number for BLANCA GOMEZ?
The registry entry for BLANCA GOMEZ shows NPI 1164807780.
Quick check: is BLANCA GOMEZ active?
Public NPPES data shows BLANCA GOMEZ with an active NPI status right now.
What type of care does BLANCA GOMEZ provide?
BLANCA GOMEZ's profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit BLANCA GOMEZ in Rancho Viejo, Texas?
For routing, start with Rancho Viejo, Texas for BLANCA GOMEZ, then verify phone and hours locally.
Can I export BLANCA GOMEZ's record?
You can download the official NPPES record; we summarize key fields for readability.

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