Individual provider Active NPI

Hernan Josue Gonzalez, FNP

  • Family Nurse Practitioner
  • Montverde, FL
National Provider Identifier
1497272603
Registry record updated Feb 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9418709 Issued in FL
Practice address
16903 Lakeside Dr Ste 4D
Montverde, FL 34756-3241
Phone
(407) 426-4337
NPI assigned
Aug 28, 2017
Last updated
Feb 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 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 ARNP9418709 FL Primary

Addresses

Primary practice location

16903 Lakeside Dr Ste 4D
Montverde, FL 34756-3241

Mailing address

588 Brantley Terrace Way Unit 205
Altamonte Springs, FL 32714-0834
Phone (407) 795-2956

Other identifiers 1

IdentifierTypeStateIssuer
F0816984OtherFLAMERICAN CADEMY OF NURSE PRACTITIONERS

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
I20190125001904 FL Practitioner - Nurse Practitioner 5294072492 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Central Florida Primary Physicians LLCGroup PAC ID 0840377610, 3 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

1565 Saxon Blvd
Suite 103
Deltona, FL 32725-5823
Phone (386) 574-1423

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9418709FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rmed LLC CurrentSince Jan 1, 2025 Accepting new patients
Dispatchhealth-Florida Inc. CurrentSince Nov 1, 2023 Accepting new patients
Central Florida Primary Physicians LLC CurrentSince Mar 24, 2024 Accepting new patients
Rmed LLC Current Accepting new patients
Rmed LLC CurrentSince Jan 1, 2025 Accepting new patients
Central Florida Primary Physicians CurrentSince Mar 24, 2024 Accepting new patients
Dispatchhealth-Florida Inc. PastSince Aug 1, 2021 Accepting new patients
Idelis Fedeslinda Arias de la Torre PastSince Jun 1, 2021 Accepting new patients
Stephanie Kern Investment and Holding Company LLC PastSince Mar 19, 2023 Accepting new patients
My Home Doctor, LLC Past Accepting new patients
Orlando Family Physicians, LLC PastSince Jan 5, 2025 Accepting new patients

Locations

1440 N Nova Rd
Ste 305
Daytona Beach, FL 32117
Phone (386) 258-8680

1565 Saxon Blvd
Ste 103
Deltona, FL 32725
Phone (386) 574-1423

7925 NW 12th St
Ste 129
Doral, FL 33126
Phone (786) 644-6413

8270 College Pkwy
Ste 103
Fort Myers, FL 33919
Phone (239) 322-3434

2600 Lake Lucien Dr
Ste 112
Maitland, FL 32751
Phone (321) 207-9029

3200 SW 34th Ave
Ste 702
Ocala, FL 34474

5421 Beaumont Center Blvd
Ste 660
Tampa, FL 33634
Phone (813) 551-1015

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

Interoperability endpoints

  • Direct secure messaging: hernan.gonzalez.1@13869.direct.athenahealth.com

Organizations & group practices 11

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": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677369600000",
    "number": "1497272603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 BRANTLEY TERRACE WAY UNIT 205",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327140834",
            "telephone_number": "407-795-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16903 LAKESIDE DR STE 4D",
            "city": "MONTVERDE",
            "state": "FL",
            "postal_code": "347563241",
            "telephone_number": "407-426-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "HERNAN",
        "middle_name": "JOSUE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-28",
        "last_updated": "2023-02-26",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9418709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN CADEMY OF NURSE PRACTITIONERS",
            "identifier": "F0816984",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montverde, FL

Sources for this page

Verify at the official NPI Registry.