Mackenzie Gomez, PA-C
NPI 1649059197 · Physician Assistant · Boise, ID
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mackenzie Gomez, PA-C is a Physician Assistant provider in Boise, ID (NPI 1649059197).
Provider details
- NPI number
- 1649059197
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 1200715 (FL)
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
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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 (1)
- 169 Sw 5th CtDeerfield Beach, FL 33441-4620Phone: (904) 245-8910
Registry dates
- Enumerated
- 2023-09-25
- Last updated
- 2025-03-10
- Certified
- 2025-03-10
Frequently asked questions
- What is Mackenzie Gomez's NPI number?
- Mackenzie Gomez's National Provider Identifier (NPI) is 1649059197, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mackenzie Gomez's specialty?
- Mackenzie Gomez is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mackenzie Gomez located?
- Mackenzie Gomez's practice location on file with NPPES is 417 S 6th St, Boise, ID 83702-7632.
- What is Mackenzie Gomez's phone number?
- The practice phone number listed in the NPPES registry for Mackenzie Gomez is (208) 577-4460.
- Does Mackenzie Gomez accept Medicare?
- Mackenzie Gomez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mackenzie Gomez's NPI active?
- Yes — Mackenzie Gomez's NPI (1649059197) is active in the NPPES registry as of the last update on 2025-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.