Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARLA GOMES NP
NPI 1720446362
Nurse Practitioner - Family in Tiverton, RI

Active since February 09, 2016PECOS EnrolledAccepts Medicare Assignment
1215 MAIN RD, TIVERTON, RI 02878(508) 813-1677 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 22, 2026, Jan 11, 2019, Jan 6, 2017 and 1 more (4 updates tracked since 2016).

About Carla Gomes Np NPPES

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

CARLA GOMES NP (NPI 1720446362) is an individual family provider in Tiverton, Rhode Island, licensed in Massachusetts (RN2266405) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Saint Anne's Hospital, and maintains a secondary practice location in Fall River.

NPPES Registry Identity

NPI1720446362
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLA GOMESCredential: NP
Location Address1215 MAIN RDTiverton, RI 02878-4246
Mailing Address1215 Main RdTiverton, RI 02878-4246 · (508) 813-1677
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 9, 2016
Last NPPES UpdateSeptember 22, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1720446362 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 MA · RN2266405
1215 MAIN RD, Tiverton, RI 02878

Secondary Practice Location 1

Location 1203 Plymouth Ave Ste 701Fall River, MA 02721-4300 · Phone (508) 235-5445

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

Carla Gomes Np 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 ID547508533
PECOS Enrollment IDI20190218001517, I20191011000110
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Carla Gomes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
277 PLEASANT ST, 4TH FLOOR
Fall River, MA 02721
  • Reassigned Medicare billing, Massachusetts and Rhode Island enrollments
  • 317 clinicians in this Medicare group
Geriatric Medicine
10 WOODLAND DR
Coventry, RI 02816
  • Reassigned Medicare billing, Rhode Island enrollment
  • 9 clinicians in this Medicare group
Geriatric Medicine
111 ORIENT AVE
East Boston, MA 02128
  • Reassigned Medicare billing, Massachusetts enrollment
  • 47 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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
405 services47 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
354 services140 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
114 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services50 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
47 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
47 services33 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Anne's Hospital

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number220020
Location795 Middle StreetFall River, MA 02721 · Bristol County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02878 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 4

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

Occupational Therapist
1215 MAIN RD
TIVERTON, RI 02878
Occupational Therapist
1215 MAIN RD
TIVERTON, RI 02878
Skilled Nursing Facility
1215 MAIN RD
TIVERTON, RI 02878
Physical Therapist
1215 MAIN RD
TIVERTON, RI 02878

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 Carla Gomes's NPI number?

The NPI number for Carla Gomes is 1720446362. It was assigned to this individual provider in the NPPES registry on February 9, 2016.

Where is Carla Gomes located?

Carla Gomes practices at 1215 Main Rd, Tiverton, RI 02878. The listed phone number is (508) 813-1677.

What is Carla Gomes's specialty?

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

Is Carla Gomes enrolled in Medicare?

Yes. Carla Gomes 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 organizations bill Medicare for Carla Gomes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carla Gomes reassigns Medicare benefits to 3 organizations: Prima Care, PC (Fall River, MA), Pai Participant 5 PC (Coventry, RI) and Pai Participant Ma PC (East Boston, MA). Each 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 Carla Gomes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carla Gomes accept?

Health plans from Anthem Blue Cross and Blue Shield list Carla Gomes 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.

Is Carla Gomes affiliated with any hospitals?

According to CMS data, Carla Gomes is affiliated with Saint Anne's Hospital.

When was this NPI record last updated?

The NPPES record for Carla Gomes was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.