Individual provider Active NPI

Abigail Gonzalez, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Mission, TX
National Provider Identifier
1376116590
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1048158 Issued in TX
Practice address
3906 N Inspiration Rd
Mission, TX 78573-9105
Phone
(956) 600-8166
NPI assigned
Jul 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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 1048158 TX Primary

Addresses

Primary practice location

3906 N Inspiration Rd
Mission, TX 78573-9105

Mailing address

2001 W Mile 3 Rd Ste 2500
Mission, TX 78573-4294
Phone (956) 600-8166

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
I20210921003892 TX Practitioner - Nurse Practitioner 7810394632 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
J Bravo Medical Services PLLCGroup PAC ID 4284996935, 3 clinicians

Practice addresses (Care Compare)

3906 N Inspiration Rd
Mission, TX 78573-9105
Phone (956) 600-8166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J Bravo Medical Services PLLC Family CurrentSince Oct 15, 2021 Accepting new patients

Locations

3906 N Inspiration Rd
Mission, TX 78573
Phone (956) 600-8166

2001 W Mile 3 Rd
Ste 2500
Mission, TX 78573

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1376116590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W MILE 3 RD STE 2500",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785734294",
            "telephone_number": "956-600-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 N INSPIRATION RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785739105",
            "telephone_number": "956-600-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ABIGAIL",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-24",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1048158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.