JUAN JOYA GOMEZ APRN
NPI 1538877345
Nurse Practitioner - Family in Edinburg, TX

Active since November 10, 2022PECOS EnrolledAccepts Medicare Assignment
87.68/100
CMS Quality Rating
5513 DOCTORS DR, EDINBURG, TX 78539(956) 362-8590 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Juan Joya Gomez Aprn NPPES

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

JUAN JOYA GOMEZ APRN (NPI 1538877345) is an individual family provider in Edinburg, Texas, licensed in Texas (109786) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1538877345
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJUAN JOYA GOMEZCredential: APRN
Location Address5513 DOCTORS DREdinburg, TX 78539-5563
Mailing Address1127 Pearl Retreat Ln Apt 5104Austin, TX 78753-3581
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 10, 2022
NPPES CertifiedSeptember 26, 2022
NPI 1538877345 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 TX · 109786
5513 DOCTORS DR, Edinburg, TX 78539

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

Juan Joya Gomez Aprn 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 ID8921476789
PECOS Enrollment IDI20221129000690
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 78539 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.

87.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.74
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Nurse Anesthetist, Certified Registered
5513 DOCTORS DR
EDINBURG, TX 78539
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5513 DOCTORS DR
EDINBURG, TX 78539
Dietitian, Registered
5513 DOCTORS DR
EDINBURG, TX 78539
Chiropractor (Occupational Health)
5513 DOCTORS DR
EDINBURG, TX 78539
Clinical Nurse Specialist (Adult Health)
5513 DOCTORS DR
EDINBURG, TX 78539
Nurse Practitioner (Gerontology)
5513 DOCTORS DR
EDINBURG, TX 78539
Internal Medicine (Cardiovascular Disease)
5513 DOCTORS DR
EDINBURG, TX 78539
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5513 DOCTORS DR
EDINBURG, TX 78539

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 Juan Joya Gomez's NPI number?

The NPI number for Juan Joya Gomez is 1538877345. It was assigned to this individual provider in the NPPES registry on November 10, 2022.

Where is Juan Joya Gomez located?

Juan Joya Gomez practices at 5513 Doctors Dr, Edinburg, TX 78539. The listed phone number is (956) 362-8590.

What is Juan Joya Gomez's specialty?

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

Is Juan Joya Gomez enrolled in Medicare?

Yes. Juan Joya 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 Juan Joya Gomez accept?

Health plans from Blue Cross and Blue Shield of Texas list Juan Joya 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 Juan Joya Gomez was last updated on November 10, 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.