Individual provider Active NPI

Virginia Gonzalez

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1568833077
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8173 Issued in AZ
Practice address
1212 S Greenfield Rd
Mesa, AZ 85206-2792
Phone
(480) 688-5612
NPI assigned
Oct 9, 2015
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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 AP8173 AZ Primary

Addresses

Primary practice location

1212 S Greenfield Rd
Mesa, AZ 85206-2792

Mailing address

1212 S Greenfield Rd
Mesa, AZ 85206-2792
Phone (480) 654-8920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160503002091 AZ Practitioner - Nurse Practitioner 6204135890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

1212 S Greenfield Rd
Mesa, AZ 85206-2792
Phone (866) 389-2727

1610 E Camelback Rd
Phoenix, AZ 85016-3902
Phone (866) 389-2727

28138 N Tatum Blvd
Cave Creek, AZ 85331-6303
Phone (866) 389-2727

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Nurse Practitioner CurrentSince Feb 24, 2017 Accepting new patients
Arizona Wound Healers LLC CurrentSince May 14, 2023 Accepting new patients

Locations

28138 N Tatum Blvd
Cave Creek, AZ 85331
Phone (480) 585-6097

5975 W Chandler Blvd
Chandler, AZ 85226
Phone (480) 753-1826

765 S Lindsay Rd
Gilbert, AZ 85296
Phone (480) 635-0113

1212 S Greenfield Rd
Mesa, AZ 85206
Phone (480) 414-8941

6015 E Brown Rd
Mesa, AZ 85205
Phone (480) 231-4641

7010 E Acoma Dr
Ste 102
Scottsdale, AZ 85254
Phone (480) 575-0576

10650 N Oracle Rd
Tucson, AZ 85737
Phone (520) 544-5544

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, 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": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1568833077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S GREENFIELD RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062792",
            "telephone_number": "480-654-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S GREENFIELD RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062792",
            "telephone_number": "480-688-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "VIRGINIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.