Individual provider Active NPI

Amy Gonzalez, APN

  • Family Nurse Practitioner
  • Schaumburg, IL
National Provider Identifier
1902530314
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209025458 Issued in IL
Practice address
2201 W Schaumburg Rd Ste B
Schaumburg, IL 60194-3891
Phone
(847) 885-8480
NPI assigned
Jul 12, 2022
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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 209025458 IL Primary

Addresses

Primary practice location

2201 W Schaumburg Rd Ste B
Schaumburg, IL 60194-3891

Mailing address

1511 N Patton Ave
Arlington Heights, IL 60004-3617
Phone (224) 678-1939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20230221002195 IL Practitioner - Nurse Practitioner 8426420407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.45 of 100Reported as group
Quality
95.38
Improvement activities
40
Cost
65.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209025458ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hpa Medical Management, LLC CurrentSince Oct 13, 2022 Accepting new patients
Northwest Suburban Medical Group S.C CurrentSince Jan 1, 2023 Accepting new patients
Hpa Medical Management, LLC CurrentSince Oct 13, 2022 Accepting new patients
Saint Francis Medical Center Past Accepting new patients

Locations

405 Lake Zurich Rd
Ste 100
Barrington, IL 60010
Phone (847) 381-5599

405 Lake Zurich Rd
North Barrington, IL 60010
Phone (847) 381-5599

2201 W Schaumburg Rd
#B
Schaumburg, IL 60194
Phone (847) 885-8480

6303 Cowboys Way
Ste 600
Frisco, TX 75034

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGCFBD
  • Direct secure messaging: amy.gonzalez.1@27211.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1902530314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 N PATTON AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043617",
            "telephone_number": "224-678-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W SCHAUMBURG RD STE B",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943891",
            "telephone_number": "847-885-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "AMY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209025458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.