Individual provider Active NPI

Mariana Beatriz Gonzalez, APRN

  • Family Nurse Practitioner
  • Davenport, FL
National Provider Identifier
1033982905
Registry record updated Mar 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11029551 Issued in FL
Practice address
5496 Meadow Walk Dr
Davenport, FL 33837-9127
Phone
(407) 528-6682
NPI assigned
Nov 2, 2023
Last updated
Mar 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2026

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 11029551 FL Primary

Addresses

Primary practice location

5496 Meadow Walk Dr
Davenport, FL 33837-9127

Mailing address

5496 Meadow Walk Dr
Davenport, FL 33837-9127
Phone (407) 528-6682

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
I20260114000209 FL Practitioner - Nurse Practitioner 0840776423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8140 College Pkwy
Suite 101
Fort Myers, FL 33919-3589

8195 Island Breeze Dr
Apt 201
Kissimmee, FL 34747-3663

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11029551FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Community Health Partners CurrentSince Dec 23, 2025 Accepting new patients

Locations

8140 College Pkwy
Ste 101
Fort Myers, FL 33919
Phone (239) 202-8128

Interoperability endpoints

  • Direct secure messaging: m.gonzalez@fchpcares.ssdirect.aprima.com
  • Direct secure messaging: mariana.gonzalez@floridachp.ssdirect.aprima.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774742400000",
    "number": "1033982905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5496 MEADOW WALK DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338379127",
            "telephone_number": "407-528-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5496 MEADOW WALK DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338379127",
            "telephone_number": "407-528-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARIANA",
        "middle_name": "BEATRIZ",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2026-03-29",
        "certification_date": "2026-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11029551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.