Individual provider Active NPI

Alicia Y Gonzales-Longoria, APRN

  • Family Nurse Practitioner
  • Gering, NE
National Provider Identifier
1215379748
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111555 Issued in NE
Practice address
2350 Shadow Ridge Dr
Gering, NE 69341
Phone
(308) 633-6202
Fax
(308) 633-6203
NPI assigned
Jul 25, 2013
Last updated
Nov 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 111555 NE Primary
Primary Care Nurse Practitioner 363LP2300X 111555 NE

Addresses

Primary practice location

2350 Shadow Ridge Dr
Gering, NE 69341

Mailing address

2350 Shadow Ridge Dr
Gering, NE 69341-1643
Phone (308) 633-6202

Other practice location 1

3011 Avenue B
Scottsbluff, NE 69361-4372
Phone (308) 632-2215

Other practice location 2

3011 Avenue B
Scottsbluff, NE 69361-4372
Phone (308) 632-2215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20131003000140 NE Practitioner - Nurse Practitioner 2769616861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional West Physicians ClinicGroup PAC ID 2062301609, 136 clinicians

Practice addresses (Care Compare)

3011 Ave B
Scottsbluff, NE 69361-4372
Phone (308) 632-2215

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.07 of 100Reported as group
Quality
62.54
Promoting interoperability
98
Improvement activities
40
Cost
72.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Regional West Physicians Clinic Past Accepting new patients

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, 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": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1215379748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 SHADOW RIDGE DR",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693411643",
            "telephone_number": "308-633-6202",
            "fax_number": "308-633-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 SHADOW RIDGE DR",
            "city": "GERING",
            "state": "NE",
            "postal_code": "69341",
            "telephone_number": "308-633-6202",
            "fax_number": "308-633-6203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3011 Avenue B",
            "address_purpose": "LOCATION",
            "city": "Scottsbluff",
            "state": "NE",
            "postal_code": "693614372",
            "country_code": "US",
            "telephone_number": "308-632-2215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3011 Avenue B",
            "address_purpose": "LOCATION",
            "city": "Scottsbluff",
            "state": "NE",
            "postal_code": "693614372",
            "country_code": "US",
            "telephone_number": "308-632-2215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES-LONGORIA",
        "first_name": "ALICIA",
        "middle_name": "Y",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111555",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "111555",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gering, NE

Sources for this page

Verify at the official NPI Registry.