Individual provider Active NPI

Monica Del Bosque Gonzalez

  • Family Nurse Practitioner
  • George West, TX
National Provider Identifier
1871132811
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144421 Issued in TX
Practice address
504A Houston St
George West, TX 78022-3663
Phone
(361) 226-1219
Fax
(361) 447-1020
NPI assigned
Dec 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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 AP144421 TX Primary

Addresses

Primary practice location

504A Houston St
George West, TX 78022-3663

Mailing address

4325 Ocean Dr Apt 3L
Corpus Christi, TX 78412-2511
Phone (361) 816-6927

Other practice location 1

301 S Hillside Dr Ste 4
Beeville, TX 78102-5324
Phone (361) 226-1126

Other practice location 2

1224 3rd St Ste 1
Corpus Christi, TX 78404-2354
Phone (361) 854-0201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210726001240 TX Practitioner - Nurse Practitioner 2860895018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Bend Urgent Care LLCGroup PAC ID 9335411982, 4 clinicians

Practice addresses (Care Compare)

301 S Hillside Dr
Suite 4
Beeville, TX 78102-5324
Phone (361) 226-1126

Hospital & facility affiliations

  • Christus Spohn Hospital Beeville Hospital, Beeville, TX, CCN 450082
  • Otto Kaiser Memorial Hospital Hospital, Kenedy, TX, CCN 451364

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP144421TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J. Mark Morales, M.D., PA CurrentSince Jan 1, 2020 Accepting new patients
Cardiovascular Care Providers, Inc. PastSince Jan 1, 2020 Accepting new patients

Locations

1224 3rd St
Ste 1
Corpus Christi, TX 78404
Phone (361) 854-0201

Interoperability endpoints

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

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1576886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1871132811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 OCEAN DR APT 3L",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784122511",
            "telephone_number": "361-816-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504A HOUSTON ST",
            "city": "GEORGE WEST",
            "state": "TX",
            "postal_code": "780223663",
            "telephone_number": "361-226-1219",
            "fax_number": "361-447-1020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S Hillside Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Beeville",
            "state": "TX",
            "postal_code": "781025324",
            "country_code": "US",
            "telephone_number": "361-226-1126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1224 3rd St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784042354",
            "country_code": "US",
            "telephone_number": "361-854-0201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MONICA",
        "middle_name": "DEL BOSQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-21",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in George West, TX

Sources for this page

Verify at the official NPI Registry.