Individual provider Active NPI

Ancilla Gonzalez, APRN, FNP-BC

  • Family Nurse Practitioner
  • McAllen, TX
National Provider Identifier
1346633146
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
702760 Issued in TX
Practice address
5300 N McColl Rd Ste 100
McAllen, TX 78504-3969
Phone
(956) 630-1000
NPI assigned
Mar 18, 2015
Last updated
Aug 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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 702760 TX Primary

Addresses

Primary practice location

5300 N McColl Rd Ste 100
McAllen, TX 78504-3969

Mailing address

7102 N 11TH LN Apt 6
McAllen, TX 78504-3176
Phone (956) 960-7856

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
I20160809000169 TX Practitioner - Nurse Practitioner 9133413560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ricardo Abreu, M.D., PAGroup PAC ID 4688643521, 27 clinicians

Practice addresses (Care Compare)

1604 E 8TH St
Suite a
Weslaco, TX 78596-5587
Phone (956) 447-5557

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
702760TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ricardo Abreu, M.D., PA CurrentSince Jul 1, 2016 Accepting new patients
Adolfo Kaplan, M.D., PA PastSince Jul 1, 2016 Accepting new patients

Locations

5300 N McColl Rd
Ste 100
McAllen, TX 78504
Phone (956) 630-1000

1022 E Griffin Pkwy
Ste 101102B
Mission, TX 78572
Phone (956) 447-5557

1604 E 8th St
#A
Weslaco, TX 78596
Phone (956) 447-5557

Interoperability endpoints

  • Direct secure messaging: ancilla.gonzalez.1@17194.direct.athenahealth.com

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.

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": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1346633146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7102 N 11TH LN APT 6",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043176",
            "telephone_number": "956-960-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 N MCCOLL RD STE 100",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043969",
            "telephone_number": "956-630-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANCILLA",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "702760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.