Individual provider Active NPI

Edward Joseph Gonzalez, FNP-C

  • Family Nurse Practitioner
  • Elma, WA
National Provider Identifier
1689905952
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60432809 Issued in WA
Practice address
610 E Main St
Elma, WA 98541-3001
Phone
(360) 346-2222
NPI assigned
Jan 26, 2010
Last updated
Sep 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200019 VI
Family Nurse Practitioner 363LF0000X 1399 AK
Family Nurse Practitioner 363LF0000X AP60432809 WA Primary
Emergency Registered Nurse 163WE0003X 24080 AK

Addresses

Primary practice location

610 E Main St
Elma, WA 98541-3001

Mailing address

36662 Veiled St
Anchor Point, AK 99556-9123
Phone (907) 987-5830

Other practice location 1

3100 Channel Dr Ste 300
Juneau, AK 99801-7837
Phone (907) 463-4000

Other names 1

  • Edward Joseph Gonzalez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MT, WA, AK, VI5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20140731001194 TX Practitioner - Nurse Practitioner 8820214604 Reassigns benefits to 2 organizations
I20150806009688 MT Practitioner - Nurse Practitioner 8820214604 Reassigns benefits to 2 organizations
I20180118002606 WA Practitioner - Nurse Practitioner 8820214604 Reassigns benefits to 3 organizations
I20180702002324 AK Practitioner - Nurse Practitioner 8820214604 Reassigns benefits to 1 organization
I20231114000385 VI Practitioner - Nurse Practitioner 8820214604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 W Simpson Ave
McCleary, WA 98557-9657
Phone (360) 495-3244

1204 Seward Ave
Searhc 1204 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1206 Seward Ave
Searhc 1206 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611

1209 Seward Ave
Searhc 1209 Behavioral
Sitka, AK 99835-7359
Phone (907) 966-8611

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

227 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411

579 E Main St
Elma, WA 98541-9551
Phone (360) 346-2222

600 E Main St
Elma, WA 98541-9560
Phone (360) 346-2222

610 E Main St
Elma, WA 98541-9353
Phone (360) 346-2222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24080AKMDEmergency Registered Nurse
1399AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grays Harbor County Public Hospital District No 1 CurrentSince Aug 20, 2025 Accepting new patients
Pioneer Medical Center CurrentSince Apr 25, 2018 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Jun 1, 2018 Accepting new patients
Plessen Medical Group, LLC CurrentSince Oct 30, 2023 Accepting new patients
Pioneer Medical Center CurrentSince Apr 25, 2018 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Sunnyside Community Hospital Association Family CurrentSince Jan 1, 2018 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Feb 21, 2017 Accepting new patients
Big Horn Hospital Association CurrentSince May 1, 2016 Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients
South Peninsula Hospital, Inc. CurrentSince Jun 1, 2018 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Grays Harbor County Public Hospital District No 1 CurrentSince Aug 20, 2025 Accepting new patients
Tanana Chiefs Conference CurrentSince Jul 1, 2016 Accepting new patients
Plessen Medical Group, LLC Current Accepting new patients
Sunnyside Community Hospital Association CurrentSince Jan 1, 2018 Accepting new patients
Tanana Chiefs Conference CurrentSince Jul 1, 2016 Accepting new patients
Big Horn Hospital Association CurrentSince May 1, 2016 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Feb 21, 2017 Accepting new patients
Southeast Alaska Regional Health Consortium Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Grays Harbor County Public Hospital District No. 1 Past Accepting new patients

Locations

1717 W Cowles St
Fairbanks, AK 99701
Phone (907) 452-6682

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

17 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2310

600 E Main St
Elma, WA 98541
Phone (360) 346-2222

610 E Main St
Elma, WA 98541
Phone (360) 346-2222

355 Chardonnay Ave
Prosser, WA 99350
Phone (509) 781-6366

2705 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 836-4848

Interoperability endpoints

  • Direct secure messaging: edwardg@direct-searhc.org

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1689905952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36662 VEILED ST",
            "city": "ANCHOR POINT",
            "state": "AK",
            "postal_code": "995569123",
            "telephone_number": "907-987-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E MAIN ST",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985413001",
            "telephone_number": "360-346-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Channel Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998017837",
            "country_code": "US",
            "telephone_number": "907-463-4000",
            "fax_number": "907-463-4075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "EDWARD",
        "middle_name": "JOSEPH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-26",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VI",
            "license": "200019",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "1399",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60432809",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AK",
            "license": "24080",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWARD",
            "last_name": "GONZALEZ",
            "middle_name": "JOSEPH",
            "credential": "APN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Elma, WA

Sources for this page

Verify at the official NPI Registry.