Active NPI
Jessica M Gonzalez, CRNP
- Family Nurse Practitioner
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-131743
- Practice address
- 4715 Whitesburg Dr SE
Huntsville, AL 35802-1649 - Phone
- (256) 881-5151
- Fax
- (256) 880-3939
- NPI assigned
- Feb 15, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-131743 | AL | Primary |
Addresses
Primary practice location
4715 Whitesburg Dr SE
Huntsville, AL 35802-1649
Mailing address
4715 Whitesburg Dr SE
Huntsville, AL 35802-1649
Phone (256) 881-5151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4715 Whitesburg Dr SE
Huntsville, AL 35802-1649
Phone (256) 881-5151
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.66 of 100
- Quality
- 90
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 80.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-131743 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportsmed Orthopaedic Specialists, PC | Current | Accepting new patients | |
| Total Sports Care, P.C. | Current | Accepting new patients | |
| Sportsmed Orthopaedic Specialists | Current | Accepting new patients |
Locations
22423 US Highway 72
Ste A
Athens, AL 35613
Phone (256) 230-9607
2506 Danville Rd SW
Ste 202
Decatur, AL 35603
Phone (256) 306-0800
4205 Balmoral Dr SW
Ste 200
Huntsville, AL 35801
Phone (256) 382-7767
4715 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 319-8500
33 Hughes Rd
Madison, AL 35758
Phone (256) 319-9327
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.
-
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1508947839
-
- Family Medicine Physician
- Huntsville, AL
- NPI 1295830891
-
- Orthopaedic Surgery Physician
- Athens, AL
- NPI 1790826816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1982143541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4715 WHITESBURG DR SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358021649",
"telephone_number": "256-881-5151",
"fax_number": "256-880-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4715 WHITESBURG DR SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358021649",
"telephone_number": "256-881-5151",
"fax_number": "256-880-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JESSICA",
"middle_name": "M",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-15",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-131743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.