Individual provider Active NPI

Andrew Joseph Gonzalez, FNP-BC

  • Cardiovascular Disease Physician
  • Maitland, FL
National Provider Identifier
1972234334
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
APRN11018218 Issued in FL
Practice address
670 N Orlando Ave Ste 1003
Maitland, FL 32751-4467
Phone
(407) 622-0793
NPI assigned
Jun 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11018218 FL
Family Nurse Practitioner 363LF0000X 11018218 FL
Cardiovascular Disease Physician 207RC0000X APRN11018218 FL Primary

Addresses

Primary practice location

670 N Orlando Ave Ste 1003
Maitland, FL 32751-4467

Mailing address

670 N Orlando Ave Ste 1003
Maitland, FL 32751-4467
Phone (407) 622-0793

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220801000736 FL Practitioner - Nurse Practitioner 0749662260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Cardiology and Vascular Associates PLGroup PAC ID 7618152083, 7 clinicians

Practice addresses (Care Compare)

541 E Horatio Ave
Suite 100
Maitland, FL 32751-7316
Phone (407) 622-0793

Merit-based Incentive Payment System (MIPS)

Final score
92.1 of 100Reported as group
Quality
93.56
Promoting interoperability
92
Improvement activities
40
Cost
65.21

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11018218FLMDAdult Health Nurse Practitioner
11018218FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Cardiology & Vascular Associates PL Cardiovascular Disease CurrentSince Jan 17, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2022 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc Cardiovascular Disease CurrentSince Sep 1, 2022 Accepting new patients

Locations

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

670 N Orlando Ave
Ste 1003
Maitland, FL 32751
Phone (407) 362-6541

541 E Horatio Ave
Ste 100
Maitland, FL 32751
Phone (407) 622-0793

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1300 N Semoran Blvd
Ste 110
Orlando, FL 32807
Phone (407) 622-0793

Interoperability endpoints

  • Direct secure messaging: agonzalez15540@orlandohealth.medalliesdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1972234334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N ORLANDO AVE STE 1003",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514467",
            "telephone_number": "407-622-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N ORLANDO AVE STE 1003",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514467",
            "telephone_number": "407-622-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-17",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11018218",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018218",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "APRN11018218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.