Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Anthony Gomez, FNP-C

Individual provider Family Nurse Practitioner · NPI 1336854504

Justin Anthony Gomez, FNP-C is a Nurse Practitioner in Saint George, Utah. Qualified in 2022, 4 years ago. Practices with Icco LLC, a 133-clinician group and accepts Medicare assignment. Licensed in Nevada and Oregon.

Years since qualifying
4
Licensed in
NV, OR
In the registry since
2023
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3187 E 3050 S
Saint George, UT 84790-1372
Phone: (484) 288-0756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 863840 (NV)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 10050797 (OR)

Record details

NPI number1336854504
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedJanuary 20, 2023
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Icco Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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