Individual provider Active NPI

Yasmin Dianaris Gonzalez

  • Family Nurse Practitioner
  • Longwood, FL
National Provider Identifier
1639951254
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11029116 Issued in FL
Practice address
210 Thistlewood Cir
Longwood, FL 32779-3348
Phone
(407) 371-7022
NPI assigned
Oct 18, 2023
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 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 APRN11029116 FL Primary

Addresses

Primary practice location

210 Thistlewood Cir
Longwood, FL 32779-3348

Mailing address

210 Thistlewood Cir
Longwood, FL 32779-3348
Phone (407) 371-7022

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
I20231222002295 FL Practitioner - Nurse Practitioner 1052761608 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

740 Concourse Pkwy S
Suite 100
Maitland, FL 32751-8101
Phone (407) 644-4222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.5 of 100Reported as group
Quality
69.32
Promoting interoperability
100
Improvement activities
40
Cost
72.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11029116FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cfagi, LLC CurrentSince Nov 18, 2023 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Jun 1, 2024 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

8825 Perimeter Park Blvd
Ste 102
Jacksonville, FL 32216
Phone (904) 399-4004

740 Concourse Pkwy S
Ste 100
Maitland, FL 32751
Phone (407) 644-4222

740 Concourse Pkwy S
Ste 200
Maitland, FL 32751
Phone (407) 644-4014

12601 Narcoossee Rd
Ste 209
Orlando, FL 32832
Phone (407) 605-3777

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

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": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1639951254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 THISTLEWOOD CIR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793348",
            "telephone_number": "407-371-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 THISTLEWOOD CIR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793348",
            "telephone_number": "407-371-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "YASMIN",
        "middle_name": "DIANARIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.