Individual provider Active NPI

Victor Felipe Gonzalez, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1558081034
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1091394 Issued in TX
Practice address
13500 E State Highway 107 Ste 4
Edinburg, TX 78542-1877
Phone
(956) 339-6526
Fax
(956) 435-0021
NPI assigned
Sep 2, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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 1091394 TX Primary

Addresses

Primary practice location

13500 E State Highway 107 Ste 4
Edinburg, TX 78542-1877

Mailing address

2217 Jeremiah St
Edinburg, TX 78542-3876
Phone (956) 588-6691

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
I20240315003637 TX Practitioner - Nurse Practitioner 5597655274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13500 E Hwy 107
Suite 4
Edinburg, TX 78542-1877
Phone (956) 339-6526

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Buen Pastor Family Clinic & Wound Care Center CurrentSince Dec 12, 2023 Accepting new patients
Rio Grande Valley Home Health, LLC CurrentSince Nov 15, 2008 Accepting new patients

Locations

13500 E State Highway 107
Ste 4
Edinburg, TX 78542
Phone (956) 339-6526

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFGDDD/Endpoint/BFGDDD

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1558081034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 JEREMIAH ST",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785423876",
            "telephone_number": "956-588-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 E STATE HIGHWAY 107 STE 4",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785421877",
            "telephone_number": "956-339-6526",
            "fax_number": "956-435-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "VICTOR",
        "middle_name": "FELIPE",
        "name_prefix": "Mr.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-02",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1091394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.