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Active NPI 1447723796 Individual Practitioner Female Practitioner

Blake Kathleen Gomez , CPNP-AC

Nurse Practitioner - Pediatrics • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Blake Gomez, CPNP-AC is a certified Nurse Practitioner - Pediatrics practicing in Minneapolis, MN. With approximately 8 years of clinical experience since completing medical education in 2018, Blake Gomez delivers high-quality medical care to the local community at 2525 CHICAGO AVE.

Blake Gomez is affiliated with Children'S Health Care and does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2525 Chicago Ave

Minneapolis, MN 554044518

Telephone 6128137888
Fax 6128136361
Associated Practice Facility / Clinic
🏢 Pediatric Radiology, P.a. Facility NPI 1124072673

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Minneapolis, MN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -3.3 yrs vs City Avg
City Avg: 11.3 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
212 Specialists

Practicing in Minneapolis, MN (480 Statewide)

Telehealth Adoption Rate
0.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gomez (8 Years) 8 Yrs
Minneapolis Specialty Average (11.3 Years) 11.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-05-26
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MN 8198

Definition to come...

Nurse Practitioner - Pediatrics, Critical Care

NUCC Taxonomy Code: 363LP0222X

State License IL 209018598

Definition to come...

Hospital & Practice Group Affiliations

Children's Health Care

2525 Chicago Ave S, Minneapolis, MN 554044597

Phone: 6128136111

Secondary Practice Locations

4400 W 95th St

Oak Lawn, IL 604532654

Phone: 7086848000

1675 Dempster St

Park Ridge, IL 600681110

Phone: 8553125437

345 Smith Ave N

Saint Paul, MN 551022346

Phone: 6128137888

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Jaime Hensel , APRN, FNP-BC

Nurse Practitioner - Family

NPI 1013347186

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

NPI 1073643342

Doctor of Medicine (M.D.)

Nicole Alcorn , ARNP

Nurse Practitioner - Pediatrics

NPI 1124796172

Advanced Registered Nurse Practitioner

NPI 1184632101

Doctor of Medicine (M.D.)

Cynthia Daughtry , MSW LICSW

Social Worker - Clinical

NPI 1194895086

MSWLICSW

NPI 1205821667

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 26, 2021

Registered at 2525 CHICAGO AVE, MINNEAPOLIS, MN 554044518 (Tel: 6128137888)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2021

Nurse Practitioner (License #209018598 in IL)

NPI Profile Active January 09, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2019

Registered at 1675 DEMPSTER ST, PARK RIDGE, IL 600681110 (Tel: 8553125437)

📍
Updated Business Mailing Address January 09, 2019

Registered at 10860 KINGSBOROUGH TRL, COTTAGE GROVE, MN 550164660 (Tel: 6517695002)

👤
Provider Name / Credentials Updated January 09, 2019

Recorded as BLAKE GOMEZ, CPNP-AC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2019

Nurse Practitioner (License #209018598 in IL)

🟢
Initial NPI Registration & Enumeration January 09, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447723796
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2019
Last Update: May 26, 2021
Sole Proprietor: No

Mailing Address

10860 Kingsborough Trl

Cottage Grove, MN 550164660

Phone: 6517695002

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.