JENNIFER GOMEZ PA-C
NPI 1255788295
Physician Assistant - Surgical in Tacoma, WA

Active since May 19, 2016PECOS EnrolledAccepts Medicare Assignment
419 S L ST, TACOMA, WA 98405(253) 403-7257(253) 403-1340 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2018, May 19, 2016 (2 updates tracked since 2016).

About Jennifer Gomez Pa-c NPPES

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

JENNIFER GOMEZ PA-C (NPI 1255788295) is an individual surgical provider in Tacoma, Washington, licensed in Washington (PA60803139) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Tacoma General Allenmore Hospital, and maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1255788295
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJENNIFER GOMEZCredential: PA-C
Location Address419 S L STTacoma, WA 98405-3799
Mailing AddressPo Box 5299, Ms: 820-5-pcoTacoma, WA 98415-0299 · (253) 459-8009
Fax(253) 403-1340
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 19, 2016
Last NPPES UpdateAugust 3, 20232 updates tracked since enumeration
NPPES CertifiedAugust 3, 2023
NPI 1255788295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in WA · PA60803139
419 S L ST, Tacoma, WA 98405

Other Names 1

Former Name (1)Jennifer Moore Pa-c

Secondary Practice Location 1

Location 11802 Yakima Ave Ste 204Tacoma, WA 98405 · Phone (253) 382-8540 · Fax (253) 382-8545

Accepted 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

Jennifer Gomez Pa-c 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 ID9436411212
PECOS Enrollment IDI20180314000380
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.

Hospital Affiliations CMS Care Compare

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

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner
419 S L ST
TACOMA, WA 98405
Physician Assistant
419 S L ST
TACOMA, WA 98405
Physician Assistant (Surgical)
419 S L ST
TACOMA, WA 98405
Nurse Practitioner
419 S L ST
TACOMA, WA 98405
Surgery
419 S L ST
TACOMA, WA 98405
Nurse Practitioner (Adult Health)
419 S L ST
TACOMA, WA 98405
Plastic Surgery
419 S L ST
TACOMA, WA 98405
Surgery (Vascular Surgery)
419 S L ST
TACOMA, WA 98405

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 Jennifer Gomez's NPI number?

The NPI number for Jennifer Gomez is 1255788295. It was assigned to this individual provider in the NPPES registry on May 19, 2016. The provider is also known as Jennifer Moore Pa-C.

Where is Jennifer Gomez located?

Jennifer Gomez practices at 419 S L St, Tacoma, WA 98405. The listed phone number is (253) 403-7257.

What is Jennifer Gomez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jennifer Gomez enrolled in Medicare?

Yes. Jennifer 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 Jennifer Gomez accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jennifer 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 Jennifer Gomez affiliated with any hospitals?

According to CMS data, Jennifer Gomez is affiliated with Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Gomez was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.