Individual provider Active NPI

Jose Noel Policarpio Gonzalez, CFNP

  • Family Nurse Practitioner
  • Ashburn, VA
National Provider Identifier
1992925671
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024167299 Issued in VA
Practice address
21170 Ashby Ponds Blvd
Ashburn, VA 20147-6128
Phone
(571) 291-6131
Fax
(571) 291-6135
NPI assigned
Apr 26, 2007
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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 0024167299 VA Primary

Addresses

Primary practice location

21170 Ashby Ponds Blvd
Ashburn, VA 20147-6128

Mailing address

5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (571) 291-6131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141020002824 VA Practitioner - Nurse Practitioner 9931320744 Reassigns benefits to 1 organization
I20161105000227 DC Practitioner - Nurse Practitioner 9931320744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

21170 Ashby Ponds Blvd
Ashburn, VA 20147-6128
Phone (571) 291-6131

9805 Woodleigh Lane
Fairfax, VA 22032-4054
Phone (703) 259-9930

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Erickson Health Medical Group of Virginia PC CurrentSince Sep 4, 2016 Accepting new patients
Erickson Health Medical Group of Virginia PC CurrentSince Aug 20, 2014 Accepting new patients
Erickson Health Medical Group of Virginia, PC CurrentSince Aug 20, 2014 Accepting new patients

Locations

5525 Research Park Dr
Catonsville, MD 21228

5525 Research Park Dr
Fl 4
Catonsville, MD 21228
Phone (410) 247-5602

5730 Executive Dr
Ste 230
Catonsville, MD 21228
Phone (410) 402-2379

21170 Ashby Ponds Blvd
Ashburn, VA 20147
Phone (571) 291-6131

7440 Spring Village Dr
Springfield, VA 22150
Phone (703) 923-4644

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1992925671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762",
            "telephone_number": "571-291-6131",
            "fax_number": "571-291-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21170 ASHBY PONDS BLVD",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476128",
            "telephone_number": "571-291-6131",
            "fax_number": "571-291-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JOSE NOEL",
        "middle_name": "POLICARPIO",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024167299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.