Active NPI
Marissa Jane Gonzalez, APRN, FNP-C
- Family Nurse Practitioner
- Edinburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1071705
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.1 of 100
- Quality
- 86
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.59 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1071705 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renaissance Medical Foundation | Family | Current | 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.
-
- Physiological Laboratory
- Harlingen, TX
- NPI 1689330649
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edinburg, TX
- NPI 1053317362
-
- Transplant Surgery Physician
- McAllen, TX
- NPI 1104338052
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.