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GUILLERMO GOMEZ JR. NURSE PRACTIONER
NPI 1164814091
Nurse Practitioner - Acute Care in El Paso, TX

Active since March 02, 2015PECOS EnrolledAccepts Medicare Assignment
221 N KANSAS ST STE 1501, EL PASO, TX 79901(915) 546-9200(915) 546-9800 Get Directions Write a Review

NPPES record last updated: March 2, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Guillermo Gomez Jr. Nurse Practioner NPPES

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

GUILLERMO GOMEZ JR. NURSE PRACTIONER (NPI 1164814091) is an individual acute care provider in El Paso, Texas, licensed in Texas (AP127082) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of El Paso, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164814091
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameGUILLERMO GOMEZ JR.Credential: NURSE PRACTIONER
Location Address221 N KANSAS ST STE 1501El Paso, TX 79901-1400
Mailing Address221 N Kansas St Ste 1501El Paso, TX 79901-1400 · (915) 546-9200 · Fax (915) 546-9800
Phone(915) 546-9200
Fax(915) 546-9800
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 2, 2015
✔ NPI 1164814091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · AP127082
221 N KANSAS ST STE 1501, El Paso, TX 79901
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Guillermo Gomez Jr. Nurse Practioner 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 ID8325352933
PECOS Enrollment IDI20150727001635
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Guillermo Gomez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

El Paso County Hospital District
3.1 mi
General Acute Care Hospital
4815 ALAMEDA AVE
El Paso, TX 79905
  • Reassigned Medicare billing, Texas enrollment
  • 409 clinicians in this Medicare group
NPI 1316936990 (915) 544-1200
Cogent Healthcare Of Texas, PA
574 mi
Internal Medicine
8200 WALNUT HILL LN
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,208 clinicians in this Medicare group
NPI 1992722953 (214) 345-7585
Hospitalist Medicine Physicians Of Texas, PLLC
677 mi
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
NPI 1629307095 (281) 540-7700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
45 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services15 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
16 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Medical Center Of El Paso

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450024
Location4815 Alameda AveEl Paso, TX 79905 · El Paso County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79901 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
82%199 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers12 claims12 services$56.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Guillermo Gomez's NPI number?

The NPI number for Guillermo Gomez is 1164814091. It was assigned to this individual provider in the NPPES registry on March 2, 2015.

Where is Guillermo Gomez located?

Guillermo Gomez practices at 221 N Kansas St Ste 1501, El Paso, TX 79901. The listed phone number is (915) 546-9200.

What is Guillermo Gomez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Guillermo Gomez enrolled in Medicare?

Yes. Guillermo Gomez 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.

Which organizations bill Medicare for Guillermo Gomez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guillermo Gomez reassigns Medicare benefits to 3 organizations: El Paso County Hospital District (El Paso, TX), Cogent Healthcare Of Texas, PA (Dallas, TX) and Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Guillermo Gomez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Guillermo Gomez accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Imperial Insurance Companies, Inc. and WellPoint list Guillermo Gomez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Guillermo Gomez affiliated with any hospitals?

According to CMS data, Guillermo Gomez is affiliated with University Medical Center Of El Paso.

When was this NPI record last updated?

The NPPES record for Guillermo Gomez was last updated on March 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.