Crystal Gonzalez, APRN
Individual provider Active NPI Nurse Practitioner · Jacksonville, FL
NPI 1043752249 · NPPES record last updated Sep 28, 2023
Key facts
- NPI
- 1043752249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN9325928 (FL)
- Practice address
- 915 W Monroe St Ste 200
Jacksonville, FL 32204-1177 - Phone
- (904) 384-2240
- Fax
- (904) 486-2314
- NPI assigned
- Nov 6, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Florida Endocrine and Diabetes Associates PA
Practice addresses (Care Compare)
915 W Monroe St
Suite 200
Jacksonville, FL 32204-1177
Phone (904) 384-2240
Hospital & facility affiliations
- Baptist Medical Center Beaches
- Baptist Health Medical Center - Jacksonville
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.44 of 100
- Quality
- 84.21
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170327000651 | FL | Practitioner - Nurse Practitioner | 7113202557 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9325928 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Jax Geriatrics, LLC | Current |
Accepting new patients | |
| North East Florida Endocrine and Diabetes Assoc PA | Current |
Accepting new patients | |
| Northeast Florida Endocrine and Diabetes Associates PA | Current |
Accepting new patients | |
| Dr. Michael V. Sharpe | Past | Accepting new patients |
Locations
3756 W 3rd St
Hilliard, FL 32046
Phone (570) 352-3063
7016 Normandy Blvd
Jacksonville, FL 32205
Phone (904) 783-2405
915 W Monroe St
Ste 200
Jacksonville, FL 32204
1375 Roberts Dr
Ste 206
Jax Bch, FL 32250
Phone (904) 247-1456
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9325928 | FL | |
| Nurse Practitioner | 363L00000X | APRN9325928 | FL | Yes |
Addresses
Primary practice location
915 W Monroe St Ste 200
Jacksonville, FL 32204-1177
Mailing address
915 W Monroe St Ste 200
Jacksonville, FL 32204-1177
Phone (904) 384-2240
Other practice location 1
7016 Normandy Blvd
Jacksonville, FL 32205-6206
Phone (190) 422-9932 ext. 229
Other providers in Jacksonville, FL
- Alanna Gonzalez
- Alexis Gonzalez
- Amy Gonzalez
- April Christine Gonzalez
- Caitlin Gonzalez
- Danielle Marie Gonzalez
- Dario Gonzalez
- Elise Nancy Gonzalez
- Gabriela Renee Gonzalez
- Hector Gonzalez
All providers in Jacksonville, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.