NPIMap

Individual provider Active NPI

Melissa Gonzalez

  • Acute Care Nurse Practitioner
  • North Chesterfield, VA
National Provider Identifier
1770019523
Registry record updated May 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024174956 Issued in VA
Practice address
1011 Johnston Willis Dr Ste 100
North Chesterfield, VA 23235-4808
Phone
(804) 330-4990
Fax
(804) 330-4529
NPI assigned
May 11, 2017
Last updated
May 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024174956 VA Primary

Addresses

Primary practice location

1011 Johnston Willis Dr Ste 100
North Chesterfield, VA 23235-4808

Mailing address

1405 Pennsylvania Ave
Glen Allen, VA 23060-3825
Phone (804) 229-9747

Other practice location 1

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 483-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170911000780 VA Practitioner - Nurse Practitioner 9133492309 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians
Virginia Internal Medicine IncGroup PAC ID 4082869250, 101 clinicians

Practice addresses (Care Compare)

1510 N 28TH St
Richmond, VA 23223-5311

235 Evergreen Ave
Appomattox, VA 24522-4501
Phone (434) 352-7420

41816 Fenway Cir
Ashburn, VA 20148-8069
Phone (347) 761-7200

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 764-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024174956VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Apr 1, 2025 Accepting new patients
Pai Participant 1 LLC CurrentSince May 3, 2026 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 12, 2026 Accepting new patients
Virginia Internal Medicine Inc CurrentSince Mar 14, 2025 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 12, 2026 Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 430-3722

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

235 Evergreen Ave
Appomattox, VA 24522
Phone (434) 352-7420

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

46531 Leesburg Pike
Sterling, VA 20164
Phone (703) 834-5800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622246400000",
    "number": "1770019523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 PENNSYLVANIA AVE",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603825",
            "telephone_number": "804-229-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 JOHNSTON WILLIS DR STE 100",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354808",
            "telephone_number": "804-330-4990",
            "fax_number": "804-330-4529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 Jahnke Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232254017",
            "country_code": "US",
            "telephone_number": "804-483-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-05-29",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024174956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.