Individual provider Active NPI

Michel Gonzalez Nunez, FNP-C

  • Family Nurse Practitioner
  • Mooresville, NC
National Provider Identifier
1811739196
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5020487 Issued in NC
Practice address
131 Welton Way
Mooresville, NC 28117-9163
Phone
(704) 360-4564
NPI assigned
Jun 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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 5020487 NC Primary

Addresses

Primary practice location

131 Welton Way
Mooresville, NC 28117-9163

Mailing address

131 Welton Way
Mooresville, NC 28117-9163
Phone (704) 360-4564

Other practice location 1

440 Jake Alexander Blvd W
Salisbury, NC 28147-1365
Phone (704) 360-4564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20241007003297 NC Practitioner - Nurse Practitioner 5698206282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

131 Welton Way
Mooresville, NC 28117-9163
Phone (704) 360-4564

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Pain and Weight Loss Family CurrentSince Aug 27, 2024 Accepting new patients
Carolina Pain and Weight Loss, PA Family CurrentSince Aug 27, 2024 Accepting new patients

Locations

131 Welton Way
Mooresville, NC 28117
Phone (704) 360-4564

249 Williamson Rd
Ste 101
Mooresville, NC 28117
Phone (704) 360-4564

440 Jake Alexander Blvd W
Salisbury, NC 28147
Phone (704) 360-4564

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGICCA

Organizations & group practices 2

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": "1717804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1811739196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 WELTON WAY",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179163",
            "telephone_number": "704-360-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 WELTON WAY",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179163",
            "telephone_number": "704-360-4564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Jake Alexander Blvd W",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281471365",
            "country_code": "US",
            "telephone_number": "704-360-4564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ NUNEZ",
        "first_name": "MICHEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-08",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.