Misty Roshel Gonzalez, M.D.

Key facts

NPI

1013336296

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

E-10640 (AR)

Practice address

2800 Fayetteville Rd
Van Buren, AR 72956-6523

Phone

(479) 314-4000

NPI assigned

Apr 15, 2014

Sex

Female

Sole proprietor

No

Organizations & group practices 4

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.

• Mercy Clinic Fort Smith Communities Multi-Specialty Clinic/Center · Fort Smith, AR · NPI 1902073620
  Medicare reassignment Care Compare group NPD AR
• Mercy Clinic Fort Smith Communities Endocrinology, Diabetes & Metabolism Physician · Fort Smith, AR · NPI 1790258002
  Care Compare group NPD
• Mercy Clinic Fort Smith Communities Medical Specialty Clinic/Center · Fort Smith, AR · NPI 1023346202
  Care Compare group
• Mercy Clinic Fort Smith Communities Orthopaedic Surgery Physician · Fort Smith, AR · NPI 1699070649
  Care Compare group

Hospital & facility affiliations 3

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

• Amedisys Arkansas, LLC Home Health Agency · Van Buren, AR · NPI 1346208758
  Care Compare affiliation Home health agency
• Baptist Health Regional Hospitals General Acute Care Hospital · Fort Smith, AR · NPI 1710463146
  Care Compare affiliation Hospital
• Mercy Hospital Fort Smith General Acute Care Hospital · Fort Smith, AR · NPI 1568433480
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Family Practice

Education

University of Arkansas College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mercy Clinic Fort Smith Communities (361 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health Home health agency · Van Buren, AR · CCN 047010
• Mercy Hospital Fort Smith Hospital · Fort Smith, AR · CCN 040062
• Baptist Health - Fort Smith Hospital · Fort Smith, AR · CCN 040055

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles (2 of 8)

Locations

Networks

• MS PPO
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
• MS PPO C-SNP
• MS PPO D-SNP
• TN PPO
• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc

Interoperability endpoints

• Direct secure messaging: mgonzalez955301@directc.mercy.net

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 17, 2020.

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1013336296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8512 S 28TH ST APT 3",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 FAYETTEVILLE RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729566523",
            "telephone_number": "479-314-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MISTY",
        "middle_name": "ROSHEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-10640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

• Lary C George, DDS
• Jessa May Geren
• Karen Marie Gilman, OTRL
• Hazel Leann Goines
• Josue Gonzalez, PHARMD
• Alana Goode
• Emma Claire Goodman
• Casey Beth Goodwin
• Kristina Anne Gordon, PTA
• William Gordon

All providers in Van Buren, AR · Family Medicine Physician in Arkansas