Individual provider Active NPI

Araceli Gonzalez, FNP-BC

  • Family Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1861086480
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10751-33 Issued in WI
Practice address
4931 S 27TH St Ste 200
Milwaukee, WI 53221-2653
Phone
(414) 546-3400
NPI assigned
Feb 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 10751-33 WI
Family Nurse Practitioner 363LF0000X 10751-33 WI Primary

Addresses

Primary practice location

4931 S 27TH St Ste 200
Milwaukee, WI 53221-2653

Mailing address

4931 S 27TH St Ste 200
Milwaukee, WI 53221-2653
Phone (414) 546-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20210309001518 WI Practitioner - Nurse Practitioner 8820404361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Physicians of Wisconsin LLCGroup PAC ID 3274842034, 42 clinicians

Practice addresses (Care Compare)

4931 S 27TH St
Suite 200
Greenfield, WI 53221-2653
Phone (414) 281-9533

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physicians of Wisconsin, LLC CurrentSince Mar 1, 2021 Accepting new patients
Independent Physicians of Wisconsin, LLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

5434 W Capitol Dr
Ste 3
Milwaukee, WI 53216
Phone (414) 217-1229

4931 S 27th St
Ste 200
Milwaukee, WI 53221
Phone (262) 763-9007

Interoperability endpoints

  • Direct secure messaging: araceli.gonzalez.1@18758.direct.athenahealth.com

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": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1861086480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 S 27TH ST STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212653",
            "telephone_number": "414-546-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 S 27TH ST STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212653",
            "telephone_number": "414-546-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ARACELI",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WI",
            "license": "10751-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "10751-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.