Individual provider Active NPI

Annette Romero Gonzalez, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1316451081
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135534 Issued in TX
Practice address
5115 El Paso Dr Ste B
El Paso, TX 79905-2818
Phone
(915) 212-6609
Fax
(915) 212-0172
NPI assigned
Nov 16, 2017
Last updated
Oct 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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 AP135534 TX Primary

Addresses

Primary practice location

5115 El Paso Dr Ste B
El Paso, TX 79905-2818

Mailing address

5115 El Paso Dr Ste B
El Paso, TX 79905-2818
Phone (915) 212-6609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20221018000690 TX Practitioner - Nurse Practitioner 4789050659 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
City of El Paso Texas CurrentSince Aug 3, 2022 Accepting new patients
City of El Paso Texas CurrentSince Aug 3, 2022 Accepting new patients
Dunamis Surgical Centers PLLC PastSince Jan 2, 2022 Accepting new patients

Locations

5115 El Paso Dr
El Paso, TX 79905
Phone (915) 212-6551

5115 El Paso Dr
Ste B
El Paso, TX 79905
Phone (915) 212-6609

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.

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1316451081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 EL PASO DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052818",
            "telephone_number": "915-212-6609",
            "fax_number": "915-212-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 EL PASO DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052818",
            "telephone_number": "915-212-6609",
            "fax_number": "915-212-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANNETTE",
        "middle_name": "ROMERO",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.