Active NPI
Michel Gonzalez Nunez, FNP-C
- Family Nurse Practitioner
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5020487
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Pain and Weight Loss | Family | Current | Accepting new patients |
| Carolina Pain and Weight Loss, PA | Family | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.