Individual provider Active NPI

David Lee Gonzales, APRN, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1629796503
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1086962 Issued in TX
Practice address
8811 Village Dr
San Antonio, TX 78217-5415
Phone
(210) 297-2000
NPI assigned
Aug 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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 1086962 TX Primary

Addresses

Primary practice location

8811 Village Dr
San Antonio, TX 78217-5415

Mailing address

4803 Hamilton Wolfe Rd Apt 214
San Antonio, TX 78229-4339
Phone (210) 262-3015

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
I20221220001226 TX Practitioner - Nurse Practitioner 8325417090 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians

Practice addresses (Care Compare)

12412 Judson Rd
Live Oak, TX 78233-3255
Phone (210) 757-7000

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
92.03
Improvement activities
40
Cost
85.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1086962TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Emergency Partners LLC CurrentSince Oct 1, 2023 Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Apr 2, 2024 Accepting new patients
Bexar Emergency Physicians, PLLC CurrentSince Mar 1, 2024 Accepting new patients
Comal Emergency Physicians, PLLC CurrentSince Mar 1, 2024 Accepting new patients
Travis County Emergency Physicians PA CurrentSince Dec 1, 2022 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

1850 State Highway 46 W
Ste 109
New Braunfels, TX 78132
Phone (210) 757-5850

244 Creekside Xing
New Braunfels, TX 78130
Phone (830) 426-7700

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

1434 E Sonterra Blvd
Ste 101
San Antonio, TX 78258
Phone (210) 686-8000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000

9211 Potranco Rd
San Antonio, TX 78251
Phone (210) 575-9211

5106 W Loop 1604 N
San Antonio, TX 78251
Phone (210) 575-0355

3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-7081

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 5

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": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1629796503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 HAMILTON WOLFE RD APT 214",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294339",
            "telephone_number": "210-262-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 VILLAGE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175415",
            "telephone_number": "210-297-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1086962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.