MACKENZIE MARIE GOMEZ PA-C
NPI 1649059197
Physician Assistant in Boise, ID
About Mackenzie Marie Gomez Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKENZIE MARIE GOMEZ PA-C (NPI 1649059197) is an individual physician assistant in Boise, Idaho, licensed in Idaho (4871647) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Deerfield Beach, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mackenzie Marie 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83702 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.
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 Mackenzie Gomez's NPI number?
The NPI number for Mackenzie Gomez is 1649059197. It was assigned to this individual provider in the NPPES registry on September 25, 2023.
Where is Mackenzie Gomez located?
Mackenzie Gomez practices at 417 S 6th St, Boise, ID 83702. The listed phone number is (208) 577-4460.
What is Mackenzie Gomez's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Mackenzie Gomez enrolled in Medicare?
Yes. Mackenzie 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 Mackenzie Gomez accept?
Health plans from Moda Health Plan, Inc., Providence Health Plan and Wellpoint list Mackenzie 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 Mackenzie Gomez was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Mackenzie Marie Gomez, PA-C · NPI 1649059197
Physician Assistant physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since September 25, 2023.
## Identity
- **NPI:** 1649059197 (Entity type: Individual)
- **Enumerated:** September 25, 2023
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 4871647 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 417 S 6TH ST, Boise, ID 83702-7632
- **Phone:** (208) 577-4460 · **Fax:** (208) 577-4469
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649059197) · Data from the CMS NPPES public registry.