AMY E GOMEZ
NPI 1750863841
Nurse Practitioner - Family in East Chicago, IN
About Amy E Gomez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY E GOMEZ (NPI 1750863841) is an individual family provider in East Chicago, Indiana, licensed in Indiana (71008535A) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amy E Gomez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amy Gomez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St John, IN 46373
- Reassigned Medicare billing, Indiana enrollment
- 607 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 46312 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.
EAST CHICAGO, IN 46312
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 Amy Gomez's NPI number?
The NPI number for Amy Gomez is 1750863841. It was assigned to this individual provider in the NPPES registry on September 5, 2018.
Where is Amy Gomez located?
Amy Gomez practices at 4321 Fir St, East Chicago, IN 46312. The listed phone number is (219) 392-7005.
What is Amy Gomez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amy Gomez enrolled in Medicare?
Yes. Amy Gomez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amy Gomez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Gomez reassigns Medicare benefits to Community Care Network Inc (St John, IN). 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 Amy Gomez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amy Gomez accept?
Health plans from Anthem Blue Cross and Blue Shield list Amy 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 Amy Gomez was last updated on November 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Amy E Gomez · NPI 1750863841
Family physician in East Chicago, Indiana. Individual provider, active in the CMS NPPES registry since September 5, 2018.
## Identity
- **NPI:** 1750863841 (Entity type: Individual)
- **Enumerated:** September 5, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71008535A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 4321 FIR ST, East Chicago, IN 46312-3049
- **Phone:** (219) 392-7005
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Community Care Network Inc (NPI 1457610487, St John, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 23, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1750863841) · Data from the CMS NPPES public registry.