KATIE L GOMEZ (ARNP) – Nurse Practitioner, NPI 1003190331

KATIE L GOMEZ (ARNP) is a healthcare provider. based in Spokane, Washington. specializing in Nurse Practitioner. They hold the professional credentials ARNP. They hold a License No. AP60234623 (WA). The NPI Number for KATIE L GOMEZ (ARNP) is 1003190331

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KATIE L GOMEZ (ARNP)
NPI
1003190331
Phone
(509) 939-5848
Address
4224 W OLYMPIC AVE
Enumeration Date
5 October 2011
Last Update Date
12 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5096843701
Graduation Year
2011 (15 years ago)
PAC ID
2365618758
Group Practice PAC ID
0345139929
Professional Enrollment ID
I20120106000286

Contacts

Secure Messaging
kgomez327345@wm.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

Provider Addresses for KATIE L GOMEZ (ARNP)

  • 4224 W OLYMPIC AVE

    SPOKANE, WA 992056150

    Phone: (509) 939-5848

    Type: Mailing

  • 1436 W LAWRENCE DR

    SPOKANE, WA 992182446

    Phone: (509) 939-5848

    Type: Mailing

  • 1101 W COLLEGE AVE

    SPOKANE, WA 992012095

    Phone: (509) 324-1420

    Type: Location

  • 805 W. 5TH AVE

    SUITE 518

    SPOKANE, WA 99204

    Phone: (509) 863-9789

    Fax: (509) 863-9809

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $248.

Total Amount is formed as General ($248) + Research ($0) + Ownership ($0) = $248.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($68).

Total Amount

$248

General + Research + Ownership

Payments

13

Total payment records

General Amount

$248

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

Latest reported date

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: 2012-01-06

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
I20120106000286INurse PractitionerWATBD

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 99205)

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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: 0345139929View full group profile

Reviews

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Frequently asked questions

What identifier follows KATIE L GOMEZ (ARNP) across health systems?
The NPI 1003190331 uniquely identifies KATIE L GOMEZ (ARNP) in U.S. healthcare data.
Does the public listing show KATIE L GOMEZ (ARNP) as active?
KATIE L GOMEZ (ARNP)'s NPI record reflects an active status in NPPES.
What services align with KATIE L GOMEZ (ARNP)'s listing?
KATIE L GOMEZ (ARNP)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KATIE L GOMEZ (ARNP)?
KATIE L GOMEZ (ARNP) is associated with Spokane, Washington in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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