MRS. KELLEY EILEEN GOMEZ APRN
NPI 1780037184
Nurse Practitioner - Family in Boise, ID
About Mrs. Kelley Eileen Gomez Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLEY EILEEN GOMEZ APRN (NPI 1780037184) is an individual family provider in Boise, Idaho, licensed in Vermont (101.0119709) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kelley Eileen Gomez Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BOISE, ID 83702
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 Kelley Gomez's NPI number?
The NPI number for Kelley Gomez is 1780037184. It was assigned to this individual provider in the NPPES registry on July 20, 2016. The provider is also known as Kelley Eileen Groll Aprn.
Where is Kelley Gomez located?
Kelley Gomez practices at 500 W Fort St, Boise, ID 83702. The listed phone number is (508) 864-0937.
What is Kelley Gomez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelley Gomez enrolled in Medicare?
Yes. Kelley Gomez is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelley Gomez was last updated on December 11, 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.
# Mrs. Kelley Eileen Gomez, APRN · NPI 1780037184
Family physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since July 20, 2016.
## Identity
- **NPI:** 1780037184 (Entity type: Individual)
- **Enumerated:** July 20, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 101.0119709 (Vermont)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 W FORT ST, Boise, ID 83702-4501
- **Phone:** (508) 864-0937
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 11, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1780037184) · Data from the CMS NPPES public registry.