Individual provider Active NPI

Javier Gonzalez Grau, APRN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1396631685
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11040198 Issued in FL
Practice address
92 N Dean Rd Ste 100
Orlando, FL 32825-3769
Phone
(407) 706-3060
Fax
(888) 960-6364
NPI assigned
Jun 16, 2025
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 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 11040198 FL Primary

Addresses

Primary practice location

92 N Dean Rd Ste 100
Orlando, FL 32825-3769

Mailing address

92 N Dean Rd Ste 100
Orlando, FL 32825-3769
Phone (407) 706-3060

Other practice location 1

9805 Elan Cir Apt 307
Orlando, FL 32836-7079
Phone (956) 438-1112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260213002309 FL Order and Referring Only - Nurse Practitioner 9537649009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11040198FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Neurotherapeutics LLC CurrentSince Aug 3, 2025 Accepting new patients

Locations

92 N Dean Rd
Ste 100
Orlando, FL 32825
Phone (407) 706-3060

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: javier.gonzalez.p1@direct.neurologyone.nextgenshare.com

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, 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": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1396631685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 N DEAN RD STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253769",
            "telephone_number": "407-706-3060",
            "fax_number": "888-960-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 N DEAN RD STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253769",
            "telephone_number": "407-706-3060",
            "fax_number": "888-960-6364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9805 Elan Cir Apt 307",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328367079",
            "country_code": "US",
            "telephone_number": "956-438-1112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ GRAU",
        "first_name": "JAVIER",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11040198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.