ELIZABETH ANN GOMEZ-MANNS MSN-ED, BSN, FNP-BC
NPI 1124988712
Nurse Practitioner - Family in Crown Point, IN

Active since November 14, 2025PECOS EnrolledAccepts Medicare Assignment
12800 MISSISSIPPI PKWY STE B100, CROWN POINT, IN 46307(219) 662-5700(219) 662-2569 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2026, Nov 14, 2025 (2 updates tracked since 2025).

About Elizabeth Ann Gomez-manns Msn-ed, Bsn, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH ANN GOMEZ-MANNS MSN-ED, BSN, FNP-BC (NPI 1124988712) is an individual family provider in Crown Point, Indiana, licensed in Indiana (71017706A) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Crown Point, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124988712
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH ANN GOMEZ-MANNSCredential: MSN-ED, BSN, FNP-BC
Location Address12800 MISSISSIPPI PKWY STE B100Crown Point, IN 46307-6901
Mailing AddressPo Box 781076Detroit, MI 48278-1008 · (317) 528-4800 · Fax (317) 865-1479
Fax(219) 662-2569
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 14, 2025
Last NPPES UpdateMarch 6, 20262 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
NPI 1124988712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71017706A
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 28187743A (IN)
12800 MISSISSIPPI PKWY STE B100, Crown Point, IN 46307

Secondary Practice Location 1

Location 112800 Mississippi Pkwy Ste A200Crown Point, IN 46307-6902 · Phone (219) 662-5700 · Fax (219) 662-2569

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Ann Gomez-manns Msn-ed, Bsn, Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961983663
PECOS Enrollment IDI20260220001586
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
12800 MISSISSIPPI PKWY STE B100
CROWN POINT, IN 46307
Nurse Practitioner (Family)
12800 MISSISSIPPI PKWY STE B100
CROWN POINT, IN 46307
Nurse Practitioner (Family)
12800 MISSISSIPPI PKWY STE B100
CROWN POINT, IN 46307
Nurse Practitioner (Family)
12800 MISSISSIPPI PKWY STE B100
CROWN POINT, IN 46307
Nurse Practitioner
12800 MISSISSIPPI PKWY STE B100
CROWN POINT, IN 46307

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Gomez-manns's NPI number?

The NPI number for Elizabeth Gomez-manns is 1124988712. It was assigned to this individual provider in the NPPES registry on November 14, 2025.

Where is Elizabeth Gomez-manns located?

Elizabeth Gomez-manns practices at 12800 Mississippi Pkwy Ste B100, Crown Point, IN 46307. The listed phone number is (219) 662-5700.

What is Elizabeth Gomez-manns's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elizabeth Gomez-manns enrolled in Medicare?

Yes. Elizabeth Gomez-manns is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Elizabeth Gomez-manns was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.