Active NPI
Jessica Lucas Gonzalez, MSN, CRNP, FNP-C
- Family Nurse Practitioner
- Crossville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-180962
- Practice address
- 15239 Al Highway 68
Crossville, AL 35962-3481 - Phone
- (256) 925-0012
- Fax
- (256) 925-0016
- NPI assigned
- Apr 17, 2023
- Last updated
- May 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-180962 | AL | Primary |
| Registered Nurse | 163W00000X | 1-180962 | AL |
Addresses
Primary practice location
15239 Al Highway 68
Crossville, AL 35962-3481
Mailing address
408 Martling Rd
Albertville, AL 35951-7208
Phone (256) 585-5942
Other practice location 1
408 Martling Rd
Albertville, AL 35951-7208
Phone (256) 585-5942
Other names 1
- Jessica Lucas Altamirano
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15239 Al Hwy 68
Crossville, AL 35962-3481
PO Box
Suite 1539
Walker, LA 70785
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-180962 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Asset Group, LLC | Single Specialty | Current | Accepting new patients |
| Medical Asset Group, LLC | Single Specialty | Current | Accepting new patients |
Locations
3442 US Highway 431
Albertville, AL 35950
Phone (256) 593-1234
15239 AL Highway 68
Crossville, AL 35962
Phone (256) 528-7173
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1225724669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 MARTLING RD",
"city": "ALBERTVILLE",
"state": "AL",
"postal_code": "359517208",
"telephone_number": "256-585-5942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15239 AL HIGHWAY 68",
"city": "CROSSVILLE",
"state": "AL",
"postal_code": "359623481",
"telephone_number": "256-925-0012",
"fax_number": "256-925-0016"
}
],
"practiceLocations": [
{
"address_1": "408 Martling Rd",
"address_purpose": "LOCATION",
"city": "Albertville",
"state": "AL",
"postal_code": "359517208",
"country_code": "US",
"telephone_number": "256-585-5942",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JESSICA",
"middle_name": "LUCAS",
"credential": "MSN, CRNP, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-17",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-180962",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-180962",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "ALTAMIRANO",
"middle_name": "LUCAS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Crossville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.