Individual provider Active NPI

William Gonzalez, ARNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1467693358
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN3212892 Issued in FL
Practice address
10503 San Jose Blvd
Jacksonville, FL 32257
Phone
(904) 450-6700
Fax
(904) 450-6691
NPI assigned
Mar 23, 2009
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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 APRN3212892 FL Primary

Addresses

Primary practice location

10503 San Jose Blvd
Jacksonville, FL 32257

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 296-5691

Other identifiers 2

IdentifierTypeStateIssuer
FL BLUEOtherFLY08JH
008779100MedicaidFL

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
I20131121001467 FL Practitioner - Nurse Practitioner 4789810771 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Florida College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

611 Zeagler Dr
Palatka, FL 32177-3810
Phone (800) 424-3672

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN3212892FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System Sunbelt, Inc. Family CurrentSince Sep 16, 2020 Accepting new patients
Ellis Pediatrics, PLLC CurrentSince Oct 16, 2022 Accepting new patients
Cep America, LLC Current Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family CurrentSince Sep 16, 2020 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Mar 9, 2017 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Mar 9, 2017 Accepting new patients
Cep America LLC CurrentSince Jun 21, 2023 Accepting new patients
St Vincent's Full Service Urgent Care, LLC CurrentSince Aug 1, 2018 Accepting new patients
Inphynet South Broward LLC CurrentSince Dec 1, 2021 Accepting new patients
Paragon Emergency Services LLC CurrentSince Feb 16, 2023 Accepting new patients
Cep America LLC CurrentSince Jun 21, 2023 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

12086 Fort Caroline Rd
Ste 401
Jacksonville, FL 32225
Phone (904) 456-9240

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

6477 103rd St
Jacksonville, FL 32210
Phone (904) 639-8517

7963 Normandy Blvd
Jacksonville, FL 32221
Phone (904) 379-1203

9820 Hutchinson Park Dr
Jacksonville, FL 32225
Phone (904) 450-6740

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070

7800 Sheridan St
Pembroke Pines, FL 33024
Phone (954) 962-9650

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

2001 County Road 210 W
Saint Johns, FL 32259
Phone (904) 450-6270

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

Organizations & group practices 12

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": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1467693358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-296-5691",
            "fax_number": "904-450-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10503 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32257",
            "telephone_number": "904-450-6700",
            "fax_number": "904-450-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-23",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN3212892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "Y08JH",
            "identifier": "FL BLUE",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008779100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.