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MRS. ENRIQUETA R GOMEZ NP-C
NPI 1770041832
Nurse Practitioner - Gerontology in Libertyville, IL

Active since March 07, 2019PECOS Enrolled
900 TECHNOLOGY WAY STE 280, LIBERTYVILLE, IL 60048(847) 549-0588 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Enriqueta R Gomez Np-c NPPES

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

MRS. ENRIQUETA R GOMEZ NP-C (NPI 1770041832) is an individual gerontology provider in Libertyville, Illinois, licensed in Illinois (209017095) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770041832
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. ENRIQUETA R GOMEZCredential: NP-C
Location Address900 TECHNOLOGY WAY STE 280Libertyville, IL 60048-5364
Mailing Address7438 W Jonquil TerNiles, IL 60714-3104 · (847) 414-3869
Phone(847) 549-0588
Sole ProprietorNo
Enumeration DateMarch 7, 2019
✔ NPI 1770041832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in IL · 209017095
900 TECHNOLOGY WAY STE 280, Libertyville, IL 60048
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Enriqueta R Gomez Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Enriqueta Gomez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
807 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois enrollment
  • 712 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 60048 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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 Enriqueta Gomez's NPI number?

The NPI number for Enriqueta Gomez is 1770041832. It was assigned to this individual provider in the NPPES registry on March 7, 2019.

Where is Enriqueta Gomez located?

Enriqueta Gomez practices at 900 Technology Way Ste 280, Libertyville, IL 60048. The listed phone number is (847) 549-0588.

What is Enriqueta Gomez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Enriqueta Gomez enrolled in Medicare?

Yes. Enriqueta Gomez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Enriqueta Gomez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Enriqueta Gomez reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Enriqueta Gomez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Enriqueta Gomez was last updated on March 7, 2019. 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.