Miguel Angel Gonzalez, APRN

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

APRN9309813 Issued in FL

Practice address

13880 Shell Point Plaza
Suite 110
Fort Myers, FL 33908-3504

Phone

(239) 466-1111

Fax

(239) 454-2111

NPI assigned

Aug 22, 2017

Last updated

May 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Christian and Missionary Alliance Foundation, IncGroup PAC ID 9739072232, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shell Point Home Health Home health agency, Fort Myers, FL, CCN 687083
• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
• Larsen Health Center Nursing home, Fort Myers, FL, CCN 105966

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: shellpoint.miguelgonzalez@152025.advancedmd-direct.com

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.

• The Christian & Missionary Alliance Foundation Inc

  dba Shell Point

  • General Practice Physician
  • Fort Myers, FL
  • NPI 1821160607
  Medicare reassignment Care Compare group NPD
• The Christian & Missionary Alliance Foundation Inc

  dba Shell Point Home Health

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1932766953
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lee Health System Inc

  dba Lee Memorial Hospital

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025
  Care Compare affiliation
• The Christian & Missionary Alliance Foundation Inc

  dba Shell Point Nursing Pavilion

  • Skilled Nursing Facility
  • Fort Myers, FL
  • NPI 1669546321

  Nursing home

  Care Compare affiliation
• The Christian & Missionary Alliance Foundation Inc

  dba Shell Point Home Health

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1932766953
  Care Compare affiliation

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1962928994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13880 SHELL POINT PLAZA",
            "address_2": "SUITE 110",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083504",
            "telephone_number": "239-466-1111",
            "fax_number": "239-454-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 SHELL POINT PLAZA",
            "address_2": "SUITE 110",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083504",
            "telephone_number": "239-466-1111",
            "fax_number": "239-454-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13880 Shell Point Plaza",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083504",
            "country_code": "US",
            "telephone_number": "239-466-1111",
            "fax_number": "239-454-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "FL",
            "license": "APRN9309813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022054200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.matrixcare.com/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Connect URL",
            "address_1": "13880 Shell Point Plaza",
            "address_2": "Suite 110",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339083504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kailen Gonzalez, PA
• Kayla Gonzalez
• Keyla Gonzalez
• Lazaro Gonzalez, APRN
• Mariah Gonzalez
• Mirianlys Gonzalez
• Nadezhda Gonzalez, MD
• Paulo Gonzalez, DO
• Raquel Maria Gonzalez, L.C.S.W.
• Rolando Luis Gonzalez, M.D.

• Clinical Nurse Specialist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinical Nurse Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.