Individual provider Active NPI

John Leonard Goncalo, FNP-C

  • Family Nurse Practitioner
  • Plainville, MA
National Provider Identifier
1083283410
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2339801 Issued in MA
Practice address
6 Wilkens Dr
Plainville, MA 02762-5019
Phone
(774) 225-6035
Fax
(833) 428-4981
NPI assigned
Jun 21, 2021
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 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 2339801 MA Primary

Addresses

Primary practice location

6 Wilkens Dr
Plainville, MA 02762-5019

Mailing address

31 Himes St
North Kingstown, RI 02852-4717
Phone (774) 365-8966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20260210000412 MA Practitioner - Nurse Practitioner 5890274906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient Focused Primary Care, P.CGroup PAC ID 0446776801, 3 clinicians

Practice addresses (Care Compare)

6 Wilkens Dr
Suite 110
Plainville, MA 02762-5019
Phone (774) 225-6035

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2339801MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patient Focused Primary Care, P.C. CurrentSince Oct 30, 2025 Accepting new patients

Locations

6 Wilkens Dr
Ste 110
Plainville, MA 02762
Phone (774) 225-6035

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5296/brand/1/csg/1/fhir/r4
  • Direct secure messaging: john.goncalo.1@5296.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1083283410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HIMES ST",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524717",
            "telephone_number": "774-365-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WILKENS DR",
            "city": "PLAINVILLE",
            "state": "MA",
            "postal_code": "027625019",
            "telephone_number": "774-225-6035",
            "fax_number": "833-428-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONCALO",
        "first_name": "JOHN",
        "middle_name": "LEONARD",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-21",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2339801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, MA

Sources for this page

Verify at the official NPI Registry.