DR. KATHLEEN MAGDALES GOMEZ DNP, APRN, PMHNP-BC
NPI 1700524493
Nurse Practitioner - Psychiatric/Mental Health in University Place, WA
About Dr. Kathleen Magdales Gomez Dnp, Aprn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATHLEEN MAGDALES GOMEZ DNP, APRN, PMHNP-BC (NPI 1700524493) is an individual psychiatric/mental health provider in University Place, Washington, licensed in Washington (AP70041331) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kent, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Kathleen Magdales Gomez Dnp, Aprn, Pmhnp-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 Kathleen Gomez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kent, WA 98032
- Reassigned Medicare billing, Washington enrollment
- 11 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 98466 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 3
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 Kathleen Gomez's NPI number?
The NPI number for Kathleen Gomez is 1700524493. It was assigned to this individual provider in the NPPES registry on May 23, 2022.
Where is Kathleen Gomez located?
Kathleen Gomez practices at 8404 27th St W, University Place, WA 98466. The listed phone number is (253) 900-1605.
What is Kathleen Gomez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kathleen Gomez enrolled in Medicare?
Yes. Kathleen 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.
Which organization bills Medicare for Kathleen Gomez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Gomez reassigns Medicare benefits to Icare Psychiatry PLLC (Kent, WA). 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 Kathleen Gomez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Gomez accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Kathleen 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 Kathleen Gomez was last updated on October 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Kathleen Magdales Gomez, DNP, APRN, PMHNP-BC · NPI 1700524493
Psychiatric/Mental Health physician in University Place, Washington. Individual provider, active in the CMS NPPES registry since May 23, 2022.
## Identity
- **NPI:** 1700524493 (Entity type: Individual)
- **Enumerated:** May 23, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** AP70041331 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8404 27TH ST W, University Place, WA 98466-2723
- **Phone:** (253) 900-1605 · **Fax:** (253) 900-1612
## 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:** Icare Psychiatry PLLC (NPI 1043021595, Kent, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700524493) · Data from the CMS NPPES public registry.