Individual provider Active NPI

Hazel Gonzales

  • Family Nurse Practitioner
  • Green Valley, AZ
National Provider Identifier
1104658970
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
310341 Issued in AZ
Practice address
275 W Continental Rd Ste 141
Green Valley, AZ 85622-3666
Phone
(520) 400-9229
Fax
(520) 453-4522
NPI assigned
Aug 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 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 310341 AZ Primary

Addresses

Primary practice location

275 W Continental Rd Ste 141
Green Valley, AZ 85622-3666

Mailing address

275 W Continental Rd Ste 141
Green Valley, AZ 85622-3666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250707003453 AZ Practitioner - Nurse Practitioner 1850805458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Life Wellness Az LLCGroup PAC ID 8224402607, 2 clinicians

Practice addresses (Care Compare)

275 W Continental Rd
Suite 141
Green Valley, AZ 85622-3666
Phone (520) 400-9229

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Best Life Wellness Az LLC CurrentSince Apr 25, 2025 Accepting new patients

Locations

275 W Continental Rd
Ste 141
Green Valley, AZ 85622
Phone (520) 400-9229

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1104658970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W CONTINENTAL RD STE 141",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856223666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W CONTINENTAL RD STE 141",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856223666",
            "telephone_number": "520-400-9229",
            "fax_number": "520-453-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "HAZEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "310341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

Verify at the official NPI Registry.