Blake Gomez, CPNP-AC
NPI 1447723796 · Pediatric Nurse Practitioner · Minneapolis, MN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blake Gomez, CPNP-AC is a Pediatric Nurse Practitioner provider in Minneapolis, MN (NPI 1447723796).
Provider details
- NPI number
- 1447723796
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-AC
- Sex
- Female
- Sole proprietor
- No
- License
- 209018598 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 4400 W 95th StOak Lawn, IL 60453-2654Phone: (708) 684-8000
- 1675 Dempster StPark Ridge, IL 60068-1110Phone: (855) 312-5437
- 345 Smith Ave NSaint Paul, MN 55102-2346Phone: (612) 813-7888Fax: (612) 813-6361
Registry dates
- Enumerated
- 2019-01-09
- Last updated
- 2021-05-26
- Certified
- 2021-05-26
Frequently asked questions
- What is Blake Gomez's NPI number?
- Blake Gomez's National Provider Identifier (NPI) is 1447723796, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blake Gomez's specialty?
- Blake Gomez is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Blake Gomez located?
- Blake Gomez's practice location on file with NPPES is 2525 Chicago Ave, Minneapolis, MN 55404-4518.
- What is Blake Gomez's phone number?
- The practice phone number listed in the NPPES registry for Blake Gomez is (612) 813-7888.
- Does Blake Gomez accept Medicare?
- Blake Gomez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Blake Gomez's NPI active?
- Yes — Blake Gomez's NPI (1447723796) is active in the NPPES registry as of the last update on 2021-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.