NPIMap

Individual provider Active NPI

Tana L. Gonzalez, CRNP

  • Gerontology Nurse Practitioner
  • York, PA
National Provider Identifier
1407866395
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
TP005976H Issued in PA
Practice address
2350 Freedom Way
Suite 102
York, PA 17402-8200
Phone
(717) 741-9537
NPI assigned
Aug 9, 2006
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X TP005976H PA
Gerontology Nurse Practitioner 363LG0600X TP005976H PA Primary

Addresses

Primary practice location

2350 Freedom Way
Suite 102
York, PA 17402-8200

Mailing address

2350 Freedom Way
Suite 102
York, PA 17402-8200
Phone (717) 741-9537

Other names 1

  • Tana L Phipps Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tgonzalez102448@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040810000532 PA Practitioner - Nurse Practitioner 6305836966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

2350 Freedom Way
102 Upmc Yorktowne Urology
York, PA 17402-8265
Phone (717) 741-9536

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP005976HPAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Dec 30, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Dec 30, 2022 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Wellspan Medical Group Past Accepting new patients
Pinnacle Health Medical Services Nurse Practitioner Past Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2350 Freedom Way
Ste 102
York, PA 17402
Phone (717) 741-9536

Interoperability endpoints

  • Direct secure messaging: tgonzalez@yturology.medentdirect.com
  • Direct secure messaging: tgonzalez102448@phsdirect.pinnaclehealth.org
  • Direct secure messaging: tgonzalez536665@upmc.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1407866395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 FREEDOM WAY",
            "address_2": "SUITE 102",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174028200",
            "telephone_number": "717-741-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 FREEDOM WAY",
            "address_2": "SUITE 102",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174028200",
            "telephone_number": "717-741-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "TANA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "TP005976H",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "TP005976H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgonzalez102448@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2350 Freedom Way",
            "address_2": "Suite 102",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174028200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TANA",
            "last_name": "PHIPPS",
            "middle_name": "L",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.