Individual provider Active NPI

Veronica Jimenez Gonzalez, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Somerton, AZ
National Provider Identifier
1821939745
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
247741 Issued in AZ
Practice address
950 E Main St BLDG B
Somerton, AZ 85350-7409
Phone
(928) 236-8001
Fax
(928) 627-1509
NPI assigned
Apr 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 247741 AZ Primary

Addresses

Primary practice location

950 E Main St BLDG B
Somerton, AZ 85350-7409

Mailing address

4766 W Rancho Escondido Dr
Yuma, AZ 85364-9767

Other practice location 1

151 S Oak Ave Ste 5
San Luis, AZ 85336-0756
Phone (928) 662-0414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20260522001636 AZ Practitioner - Nurse Practitioner 6507336203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 617
Somerton, AZ 85350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
247741AZMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 1

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": "1775174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1821939745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4766 W RANCHO ESCONDIDO DR",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853649767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E MAIN ST BLDG B",
            "city": "SOMERTON",
            "state": "AZ",
            "postal_code": "853507409",
            "telephone_number": "928-236-8001",
            "fax_number": "928-627-1509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 S Oak Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "San Luis",
            "state": "AZ",
            "postal_code": "853360756",
            "country_code": "US",
            "telephone_number": "928-662-0414",
            "fax_number": "877-219-5080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ GONZALEZ",
        "first_name": "VERONICA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "247741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerton, AZ

Sources for this page

Verify at the official NPI Registry.