CAROLINA GOMEZ-LOYA FNP-BC
NPI 1316659808
Nurse Practitioner - Family in Harlingen, TX
About Carolina Gomez-loya Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLINA GOMEZ-LOYA FNP-BC (NPI 1316659808) is an individual family provider in Harlingen, Texas, licensed in Texas (1098784) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brownsville, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Carolina Gomez-loya 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.
Medicare Billing Reassignment
Medicare enrollment records show Carolina Gomez-loya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Corpus Christi, TX 78411
- Reassigned Medicare billing, Texas enrollment
- 510 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78550 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HARLINGEN, TX 78550
HARLINGEN, TX 78550
HARLINGEN, TX 78550
HARLINGEN, TX 78550
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 Carolina Gomez-loya's NPI number?
The NPI number for Carolina Gomez-loya is 1316659808. It was assigned to this individual provider in the NPPES registry on December 16, 2022.
Where is Carolina Gomez-loya located?
Carolina Gomez-loya practices at 2121 Pease St, Harlingen, TX 78550. The listed phone number is (956) 421-1730.
What is Carolina Gomez-loya's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carolina Gomez-loya enrolled in Medicare?
Yes. Carolina Gomez-loya 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 organization bills Medicare for Carolina Gomez-loya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carolina Gomez-loya reassigns Medicare benefits to Children's Physician Services Of South Texas (Corpus Christi, TX). The 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 Carolina Gomez-loya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carolina Gomez-loya accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Carolina Gomez-loya 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 Carolina Gomez-loya was last updated on December 16, 2022. 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.
# Carolina Gomez-Loya, FNP-BC · NPI 1316659808
Family physician in Harlingen, Texas. Individual provider, active in the CMS NPPES registry since December 16, 2022.
## Identity
- **NPI:** 1316659808 (Entity type: Individual)
- **Enumerated:** December 16, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1098784 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2121 PEASE ST, Harlingen, TX 78550-8348
- **Phone:** (956) 421-1730 · **Fax:** (361) 808-2720
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Children's Physician Services Of South Texas (NPI 1568658227, Corpus Christi, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 16, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1316659808) · Data from the CMS NPPES public registry.