Kristi Gonzales, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1401 E 12TH St
Mendota, IL 61342-9216

Phone

(815) 538-7200

NPI assigned

Sep 15, 2014

Last updated

Jan 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rochelle Community Hospital AssociationGroup PAC ID 4789581828, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rochelle Community Hospital Hospital, Rochelle, IL, CCN 141312
• Saint Anthony Medical Center Hospital, Rockford, IL, CCN 140233
• Osf Saint Paul Medical Center Hospital, Mendota, IL, CCN 141310

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Rochelle Community Hospital Association

  • Family Medicine Physician
  • Rochelle, IL
  • NPI 1568518322

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Physicians Immediate Care North Chicago LLC

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1205814118
  Medicare reassignment
• Rochelle Community Hospital Association

  • Critical Access Hospital
  • Rochelle, IL
  • NPI 1821053216
  Medicare reassignment
• Rochelle Community Hospital Association

  • Medicare Defined Swing Bed Hospital Unit
  • Rochelle, IL
  • NPI 1346207669
  NPD
• Central PA Pharmacy LLC.

  dba patton pharmacy and v&s variety

  • Community/Retail Pharmacy
  • Patton, PA
  • NPI 1578541413
  NPD
• Pic Wisconsin SC

  dba Physicians Urgent Care

  • Urgent Care Clinic/Center
  • Brookfield, WI
  • NPI 1124678354
  NPD (past)

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

• Mendota Community Hospital

  dba OSF Saint Paul Medical Center

  • Critical Access Hospital
  • Mendota, IL
  • NPI 1609803113
  Care Compare affiliation
• Rochelle Community Hospital Association

  • Critical Access Hospital
  • Rochelle, IL
  • NPI 1821053216
  Care Compare affiliation
• Saint Anthony Medical Center

  dba OSF Saint Anthony Medical Center

  • General Acute Care Hospital
  • Rockford, IL
  • NPI 1790739977
  Care Compare affiliation

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1659772242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S 11TH ST",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610681930",
            "telephone_number": "815-501-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E 12TH ST",
            "city": "MENDOTA",
            "state": "IL",
            "postal_code": "613429216",
            "telephone_number": "815-538-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "KRISTI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maritza Yesenia Estrada-O'Brien
• Katherine Rose Ford, CRNA
• Forest City Behavior LLC
• Alicia Foster
• Marissa Gatza, C.O.T.A.
• Goslin Drug Store Inc
• Pamela A Hansen, PA-C
• Heritage Manor - Mendota, LLC (Heritage Health - Mendota)
• Heritage Manor Mendota, LLC (Heritage Health - Mendota)
• Highland Park CVS, L.L.C. (CVS Pharmacy # 06897)

• Physician Assistant in Mendota, IL
• Providers in Mendota, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.