Active NPI
Kimberly Ann Gonzalez, PA-C
- Physician Assistant
- Edinburg, TX
National Provider Identifier
1871774117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA05418
- Practice address
- 5115 S McColl Rd
Edinburg, TX 78539-8278 - Phone
- (956) 683-7900
- Fax
- (956) 683-9910
- NPI assigned
- Nov 15, 2007
- Last updated
- Mar 5, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA05418 | TX | Primary |
Addresses
Primary practice location
5115 S McColl Rd
Edinburg, TX 78539-8278
Mailing address
5115 S McColl Rd
Edinburg, TX 78539-8278
Phone (956) 683-7900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192342701 | Medicaid | TX | |
| PA05418 | Other | TX | STATE LICENSE NUMBER |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- kimberly.gonzalez@rwhobgyn.directbygreenway.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Edinburg, TX
- NPI 1770699639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1871774117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5115 S MCCOLL RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785398278",
"telephone_number": "956-683-7900",
"fax_number": "956-683-9910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 S MCCOLL RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785398278",
"telephone_number": "956-683-7900",
"fax_number": "956-683-9910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-15",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA05418",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "192342701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "PA05418",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.