Individual provider Active NPI

Marissa Jane Gonzalez, APRN, FNP-C

  • Family Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1346983137
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1071705 Issued in TX
Practice address
2717 Michaelangelo Dr Ste 200
Edinburg, TX 78539-1412
Phone
(956) 362-2250
Fax
(956) 362-2251
NPI assigned
Apr 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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 1071705 TX Primary

Addresses

Primary practice location

2717 Michaelangelo Dr Ste 200
Edinburg, TX 78539-1412

Mailing address

PO Box 749
Pharr, TX 78577-1614
Phone (956) 362-2250

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
I20220519002353 TX Practitioner - Nurse Practitioner 4486031036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians

Practice addresses (Care Compare)

2717 W Michaelangelo Dr
Suite 200
Edinburg, TX 78539-1412
Phone (956) 362-2250

5501 S McColl Rd
Edinburg, TX 78539-5503
Phone (956) 362-2171

Hospital & facility affiliations

  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

Merit-based Incentive Payment System (MIPS)

Final score
98.1 of 100Reported as group
Quality
86
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
72.49
Promoting interoperability
94
Improvement activities
40
Cost
68.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1071705TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Medical Foundation Family CurrentSince Nov 1, 2023 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

2717 W Michaelangelo Dr
Ste 200
Edinburg, TX 78539
Phone (956) 362-2250

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

2717 W Michaelangelo Dr
Ste 101
Edinburg, TX 78539
Phone (956) 362-2120

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1346983137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771614",
            "telephone_number": "956-362-2250",
            "fax_number": "956-362-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 MICHAELANGELO DR STE 200",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391412",
            "telephone_number": "956-362-2250",
            "fax_number": "956-362-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARISSA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1071705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.