Individual provider Active NPI

Gladys Gonzalez Reyes, MSN, FNP

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1154102143
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11029028 Issued in FL
Practice address
4805 26TH St W
Bradenton, FL 34207-1706
Phone
(941) 753-7843
Fax
(941) 567-3357
NPI assigned
Oct 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 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 11029028 FL Primary

Addresses

Primary practice location

4805 26TH St W
Bradenton, FL 34207-1706

Mailing address

101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000

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
I20240117004323 FL Practitioner - Nurse Practitioner 5698127447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCR Health IncGroup PAC ID 7214847995, 132 clinicians

Practice addresses (Care Compare)

12271 US Hwy 301 N
Parrish, FL 34219-8410
Phone (941) 713-2231

919 53Rd Ave E
Bradenton, FL 34203-4801
Phone (941) 751-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11029028FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Dec 29, 2023 Accepting new patients
MCR Health, Inc. Family CurrentSince Dec 29, 2023 Accepting new patients
MCR Health, Inc. Past Accepting new patients

Locations

1148 E Gibson St
Bldg C
Arcadia, FL 34266
Phone (863) 494-6222

1110 E Gibson St
Bldg A
Arcadia, FL 34266
Phone (863) 494-4433

5108 15th St E
Ste 111
Bradenton, FL 34203
Phone (941) 210-7942

2318 Manatee Ave W
Bradenton, FL 34205
Phone (941) 714-7150

101 Riverfront Blvd
Ste 710
Bradenton, FL 34205

1515 26th Ave E
Bradenton, FL 34208
Phone (941) 708-7607

712 39th St W
Bradenton, FL 34205
Phone (941) 748-4602

6040 State Road 70 E
Unit A
Bradenton, FL 34203
Phone (941) 316-8200

3501 Cortez Rd W
Ste 1
Bradenton, FL 34210
Phone (941) 909-7007

1312 Manatee Ave E
Bradenton, FL 34208
Phone (941) 708-8700

1609 6th Ave E
Bradenton, FL 34208
Phone (413) 481-1689

4805 26th St W
Bradenton, FL 34207
Phone (941) 753-7843

6040 State Road 70 E
Bradenton, FL 34203
Phone (941) 316-8200

919 53rd Ave E
Bradenton, FL 34203
Phone (941) 751-8100

5325 26th St W
Bradenton, FL 34207
Phone (941) 708-8500

579 S Indiana Ave
Ste A
Englewood, FL 34223
Phone (941) 460-1341

5600 Bayshore Rd
Palmetto, FL 34221
Phone (941) 721-2020

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

170 N Lime Ave
Sarasota, FL 34237
Phone (941) 867-0127

Organizations & group practices 3

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": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1154102143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 710",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058812",
            "telephone_number": "941-776-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071706",
            "telephone_number": "941-753-7843",
            "fax_number": "941-567-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ REYES",
        "first_name": "GLADYS",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-06",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11029028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.