CLIVE GOMILLA NP-C
NPI 1568047249
Nurse Practitioner - Family in Humble, TX

Active since March 14, 2021PECOS EnrolledAccepts Medicare Assignment
18980 W MEMORIAL DR, #100, HUMBLE, TX 77338(832) 644-8930 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2021, Mar 16, 2021, Mar 14, 2021 (3 updates tracked since 2021).

About Clive Gomilla Np-c NPPES

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

CLIVE GOMILLA NP-C (NPI 1568047249) is an individual family provider in Humble, Texas, licensed in Texas (1031969) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2020).

NPPES Registry Identity

NPI1568047249
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCLIVE GOMILLACredential: NP-C
Location Address18980 W MEMORIAL DR, #100Humble, TX 77338
Mailing Address2123 Endicott LnSugar Land, TX 77478-6027 · (832) 875-5762
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2020
Enumeration DateMarch 14, 2021
Last NPPES UpdateAugust 25, 20213 updates tracked since enumeration
NPPES CertifiedAugust 8, 2021
NPI 1568047249 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 · 1031969
18980 W MEMORIAL DR, Humble, TX 77338

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

Clive Gomilla Np-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 ID1355749839
PECOS Enrollment IDI20211014000044
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 77338 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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 2

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

Nurse Practitioner (Acute Care)
18980 W MEMORIAL DR
HUMBLE, TX 77338
Nurse Practitioner (Acute Care)
18980 W MEMORIAL DR, STE 100
HUMBLE, TX 77338

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 Clive Gomilla's NPI number?

The NPI number for Clive Gomilla is 1568047249. It was assigned to this individual provider in the NPPES registry on March 14, 2021.

Where is Clive Gomilla located?

Clive Gomilla practices at 18980 W Memorial Dr #100, Humble, TX 77338. The listed phone number is (832) 644-8930.

What is Clive Gomilla's specialty?

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

Is Clive Gomilla enrolled in Medicare?

Yes. Clive Gomilla 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 Clive Gomilla accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Clive Gomilla 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 Clive Gomilla was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.