Individual provider Active NPI

Amanda Christina Gonzalez, NP

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1497101679
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP130123 Issued in TX
Practice address
4511 Horizon Hill Blvd Ste 150
San Antonio, TX 78229-2449
Phone
(210) 477-2626
Fax
(210) 477-2650
NPI assigned
May 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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 AP130123 TX Primary

Addresses

Primary practice location

4511 Horizon Hill Blvd Ste 150
San Antonio, TX 78229-2449

Mailing address

4511 Horizon Hill Blvd Ste 150
San Antonio, TX 78229-2449
Phone (210) 477-2626

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
I20181210000273 TX Practitioner - Nurse Practitioner 4587908173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.03 of 100Reported as group
Quality
98.25
Improvement activities
40
Cost
69.1

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Associates, P.a. CurrentSince Jun 27, 2022 Accepting new patients
Pam Physician Enterprise CurrentSince Oct 1, 2020 Accepting new patients

Locations

4511 Horizon Hill Blvd
Ste 150
San Antonio, TX 78229
Phone (210) 255-7500

5101 Medical Dr
San Antonio, TX 78229
Phone (210) 592-5438

10323 State Highway 151
San Antonio, TX 78251
Phone (210) 581-5306

Organizations & group practices 2

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": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1497101679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 HORIZON HILL BLVD STE 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292449",
            "telephone_number": "210-477-2626",
            "fax_number": "210-477-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 HORIZON HILL BLVD STE 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292449",
            "telephone_number": "210-477-2626",
            "fax_number": "210-477-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "AMANDA",
        "middle_name": "CHRISTINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP130123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.