Individual provider Active NPI

Ricardo Gonzalez, CNS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • El Paso, TX
National Provider Identifier
1508939687
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
AP114437 Issued in TX
Practice address
1551 Montana Ave
El Paso, TX 79902-5668
Phone
(915) 747-3510
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X AP114437 TX Primary

Addresses

Primary practice location

1551 Montana Ave
El Paso, TX 79902-5668

Mailing address

6704 Dakota Ridge Dr
El Paso, TX 79912-8115
Phone (915) 584-5008

Other practice location 1

2400 Trawood Dr
El Paso, TX 79936-4168
Phone (915) 599-6735

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
I20070620000527 TX Practitioner - Nurse Practitioner 5395844054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
El Paso Community MHMRGroup PAC ID 3476532383, 54 clinicians

Practice addresses (Care Compare)

1551 Montana Ave
El Paso, TX 79902-5668
Phone (915) 887-3410

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP114437TXMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Community MHMR Past Accepting new patients

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1508939687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6704 DAKOTA RIDGE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799128115",
            "telephone_number": "915-584-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025668",
            "telephone_number": "915-747-3510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Trawood Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799364168",
            "country_code": "US",
            "telephone_number": "915-599-6735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "RICARDO",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "TX",
            "license": "AP114437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.