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JACQUELINE GOMEZ NP
NPI 1245655711
Nurse Practitioner - Family in Green Valley, AZ

Active since February 20, 2014PECOS EnrolledAccepts Medicare Assignment
4485 S I 19 FRONTAGE RD STE 100, GREEN VALLEY, AZ 85614(520) 399-6000(520) 399-6002 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline Gomez Np NPPES

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

JACQUELINE GOMEZ NP (NPI 1245655711) is an individual family provider in Green Valley, Arizona, licensed in Arizona (AP5451) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1245655711
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE GOMEZCredential: NP
Location Address4485 S I 19 FRONTAGE RD STE 100Green Valley, AZ 85614-5884
Mailing Address6840 E Broadway BlvdTucson, AZ 85710-2809 · (520) 399-6000 · Fax (520) 399-6002
Phone(520) 399-6000
Fax(520) 399-6002
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 20, 2014
Last NPPES UpdateJuly 1, 2021
NPPES CertifiedJuly 1, 2021
✔ NPI 1245655711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP5451
4485 S I 19 FRONTAGE RD STE 100, Green Valley, AZ 85614
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.Insurance ›

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

Jacqueline Gomez Np 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 ID7214153139
PECOS Enrollment IDI20140729001381
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
721 services303 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
207 services146 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85614 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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

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

EMIL H ANNABI MD PC
Anesthesiology
4485 S I 19 FRONTAGE RD STE 100
GREEN VALLEY, AZ 85614
Pima County (520) 399-6000

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 Jacqueline Gomez's NPI number?

The NPI number for Jacqueline Gomez is 1245655711. It was assigned to this individual provider in the NPPES registry on February 20, 2014.

Where is Jacqueline Gomez located?

Jacqueline Gomez practices at 4485 S I 19 Frontage Rd Ste 100, Green Valley, AZ 85614. The listed phone number is (520) 399-6000.

What is Jacqueline Gomez's specialty?

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

Is Jacqueline Gomez enrolled in Medicare?

Yes. Jacqueline 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.

What insurance does Jacqueline Gomez accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Jacqueline 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.

When was this NPI record last updated?

The NPPES record for Jacqueline Gomez was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.