Individual provider Active NPI

Mona Lisa Gonzalez, CRNP

  • Nurse Practitioner
  • Center Valley, PA
National Provider Identifier
1407322795
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP019348 Issued in PA
Practice address
5445 Lanark Road
Suite 200
Center Valley, PA 18034
Phone
(484) 526-7036
NPI assigned
Oct 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP019348 PA Primary

Addresses

Primary practice location

5445 Lanark Road
Suite 200
Center Valley, PA 18034

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20181220000742 PA Practitioner - Nurse Practitioner 2668717604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

801 Ostrm St
Bethlehem, PA 18015-1000
Phone (484) 526-7576

Hospital & facility affiliations

  • St Luke'S Home Health Home health agency, Bethlehem, PA, CCN 397002
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Moravian Village of Bethlehem Nursing home, Bethlehem, PA, CCN 396096

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP019348PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. CurrentSince Oct 16, 2018 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Oct 16, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

350 S Cedarbrook Rd
Allentown, PA 18104
Phone (610) 336-5696

535 N 17th St
Allentown, PA 18104
Phone (610) 432-4351

601 Saint John St
Allentown, PA 18103
Phone (610) 776-3130

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

4005 Green Pond Rd
Bethlehem, PA 18020
Phone (610) 515-1830

1 Kirkland Vlg
Bethlehem, PA 18017
Phone (610) 691-4500

5445 Lanark Rd
Ste 103
Center Valley, PA 18034
Phone (484) 526-5580

5445 Lanark Rd
Center Valley, PA 18034
Phone (484) 523-7300

5445 Lanark Rd
Ste 200
Center Valley, PA 18034
Phone (484) 526-7036

175 Newlins Rd W
Easton, PA 18040
Phone (484) 526-4035

2125 Fairview Ave
Easton, PA 18042
Phone (610) 258-2801

4098 Freemansburg Ave
Easton, PA 18045
Phone (610) 330-9030

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 5

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 8

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": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1407322795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 LANARK ROAD",
            "address_2": "SUITE 200",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "18034",
            "telephone_number": "484-526-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MONA LISA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP019348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Valley, PA

Sources for this page

Verify at the official NPI Registry.