Individual provider Active NPI

Ivon Gonzalez, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1003459025
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11003429 Issued in FL
Practice address
13691 Metro Pkwy Ste 420
Fort Myers, FL 33912-4349
Phone
(239) 215-4064
Fax
(239) 215-4063
NPI assigned
Oct 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11003429 FL Primary

Addresses

Primary practice location

13691 Metro Pkwy Ste 420
Fort Myers, FL 33912-4349

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (239) 215-4064

Other practice location 1

3220 S Douglas Rd Ste A
Miramar, FL 33025-2734
Phone (954) 436-8444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210708002847 FL Practitioner - Nurse Practitioner 8729480017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

1065 Tamiami TRL N
Nokomis, FL 34275-2144
Phone (941) 477-2364

1126 S 14TH St
Fernandina Beach, FL 32034-2920
Phone (904) 432-3061

1128 S 14TH St
Fernandina Beach, FL 32034-2920
Phone (904) 420-6105

1132 S 14TH St
Fernandina Beach, FL 32034-2920
Phone (904) 277-4690

126 Del Prado Blvd N
Cape Coral, FL 33909-2713

12995 S Cleveland Ave
Suite 184
Fort Myers, FL 33907-7703
Phone (239) 939-2201

13691 Metro Pkwy
Fort Myers, FL 33912-4322

13813 Metro Pkwy
Fort Myers, FL 33912-4343
Phone (239) 936-1343

150 W McKenzie St
Punta Gorda, FL 33950-5500
Phone (941) 621-6476

1528 Del Prado Blvd S
Cape Coral, FL 33990-3798
Phone (239) 458-3338

1708 Cape Coral Pkwy W
Cape Coral, FL 33914-6985
Phone (239) 540-1495

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535

2002 Del Prado Blvd S
Suite 100
Cape Coral, FL 33990-4557
Phone (239) 217-4470

2675 Winkler Ave
Fort Myers, FL 33901-9328

2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328

3434 Hancock Bridge Pkwy
Suite 301
North Fort Myers, FL 33903-7099
Phone (877) 856-3774

3571 Del Prado Blvd N
Suite 2
Cape Coral, FL 33909-5287
Phone (239) 656-6300

4881 Palm Beach Blvd
Suite 100
Fort Myers, FL 33905-3217
Phone (239) 693-9191

60 W Minister St N
Suite C
Lehigh Acres, FL 33936-6518
Phone (806) 553-3637

60 Westminster St N
Suite G
Lehigh Acres, FL 33936-6518
Phone (239) 491-0233

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
75.76
Promoting interoperability
100
Improvement activities
40
Cost
77.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11003429FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Best Care Community and Family Health Center Inc CurrentSince Apr 1, 2022 Accepting new patients
Millennium Physician Group LLC CurrentSince Aug 15, 2024 Accepting new patients
Millennium Physician Group LLC CurrentSince Aug 15, 2024 Accepting new patients

Locations

2002 Del Prado Blvd S
Ste 100
Cape Coral, FL 33990
Phone (239) 217-4470

13691 Metro Pkwy
Ste 420
Fort Myers, FL 33912
Phone (239) 215-4064

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

2718 Lee Blvd
Ste B
Lehigh Acres, FL 33971
Phone (239) 288-0840

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: ivon.gonzalez.1@4290.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1003459025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "239-215-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY STE 420",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124349",
            "telephone_number": "239-215-4064",
            "fax_number": "239-215-4063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3220 S Douglas Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330252734",
            "country_code": "US",
            "telephone_number": "954-436-8444",
            "fax_number": "954-436-1159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "IVON",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.