Individual provider Active NPI

Evan Gonzalez, PA-C

  • Physician Assistant
  • Fredericksburg, VA
National Provider Identifier
1841983517
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1031 Care Way
Fredericksburg, VA 22401-8425
Phone
(540) 371-7600
NPI assigned
May 30, 2023
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

1031 Care Way
Fredericksburg, VA 22401-8425

Mailing address

PO Box 419669
Boston, MA 02241-9669

Other practice location 1

125 Hospital Center Blvd Ste 309
Stafford, VA 22554-6204
Phone (540) 371-7600

Other practice location 2

318 Stoney Mountain Rd
Hendersonville, NC 28791-2037
Phone (561) 512-9754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240326000117 VA Practitioner - Physician Assistant 8224475330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
MWHC Urgent Care LLCGroup PAC ID 8921338427, 20 clinicians

Practice addresses (Care Compare)

11131 Journal Pkwy
Suite a
King George, VA 22485-3468
Phone (540) 709-5173

4900 Plank Rd
Suite 101
Fredericksburg, VA 22407-6626
Phone (540) 741-0679

955 Wonder Rd
Suite C
Stafford, VA 22554-7798
Phone (540) 741-7890

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MWHC Urgent Care LLC CurrentSince Mar 25, 2024 Accepting new patients

Locations

10 Stafford Lakes Pkwy
Ste 102
Fredericksburg, VA 22406
Phone (540) 737-6144

1340 Central Park Blvd
Ste 100
Fredericksburg, VA 22401

11131 Journal Pkwy
Ste A
King George, VA 22485
Phone (540) 709-5173

Organizations & group practices 3

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 3

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1841983517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419669",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022419669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 CARE WAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018425",
            "telephone_number": "540-371-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Hospital Center Blvd Ste 309",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225546204",
            "country_code": "US",
            "telephone_number": "540-371-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "318 Stoney Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287912037",
            "country_code": "US",
            "telephone_number": "561-512-9754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "EVAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-30",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.