Jose Noel Policarpio Gonzalez, CFNP
Individual provider Active NPI Family Nurse Practitioner · Ashburn, VA
NPI 1992925671 · NPPES record last updated Feb 25, 2026
Key facts
- NPI
- 1992925671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024167299 (VA)
- Practice address
- 21170 Ashby Ponds Blvd
Ashburn, VA 20147-6128 - Phone
- (571) 291-6131
- Fax
- (571) 291-6135
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Erickson Health Medical Group of Virginia, PC
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
- Inova Loudoun Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141020002824 | VA | Practitioner - Nurse Practitioner | 9931320744 | Reassigns benefits to 1 organization |
| I20161105000227 | DC | Practitioner - Nurse Practitioner | 9931320744 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erickson Health Medical Group of Virginia PC | Current |
Accepting new patients | |
| Erickson Health Medical Group of Virginia, PC | Current |
Accepting new patients | |
| Erickson Health Medical Group of Virginia PC | Current |
Accepting new patients |
Locations
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
5525 Research Park Dr
Catonsville, MD 21228
21170 Ashby Ponds Blvd
Ashburn, VA 20147
Phone (571) 291-6131
7440 Spring Village Dr
Springfield, VA 22150
Phone (703) 923-4644
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024167299 | VA | Yes |
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
Other providers in Ashburn, VA
- Ana Goncalves
- Olga Goncharov
- Gauthami Gondy
- Gonzales-Vigilar Psychiatric Services
- Maria Carmen V Gonzales-Vigilar
- Leanne Good
- Goose Creek Village Dental
- Brunella Gordillo
- Carol Ann Gordon Delooper
- Rachel Nicole Gorman
All providers in Ashburn, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.