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JAN KENNETH GONZALES FNP-C
NPI 1043820376
Nurse Practitioner in Lake City, FL

Active since August 02, 2020PECOS EnrolledAccepts Medicare Assignment
4251 NW AMERICAN LN, LAKE CITY, FL 32055(386) 758-6143 Get Directions Write a Review

NPPES record last updated: August 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jan Kenneth Gonzales Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAN KENNETH GONZALES FNP-C (NPI 1043820376) is an individual nurse practitioner in Lake City, Florida, licensed in Florida (APRN11008439) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Lake City Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1043820376
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJAN KENNETH GONZALESCredential: FNP-C
Location Address4251 NW AMERICAN LNLake City, FL 32055-8844
Mailing Address4245 Metron DrJacksonville, FL 32216-1012 · (386) 438-4142
Phone(386) 758-6143
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 2, 2020
NPPES CertifiedAugust 2, 2020
✔ NPI 1043820376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11008439
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4251 NW AMERICAN LN, Lake City, FL 32055
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jan Kenneth Gonzales Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577971522
PECOS Enrollment IDI20210413000685
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Lake City Hospital

Acute Care Hospitals · Lake City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100156
Location340 NW Commerce DrLake City, FL 32055 · Columbia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers11 claims24 services$6.54 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
2 suppliers19 claims19 services$202.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LATONA D MCQUAY LPN
Adult Companion
4251 NW AMERICAN LN
LAKE CITY, FL 32055
Columbia County (386) 867-1195
ALEX L GONZALES MD
Internal Medicine
4251 NW AMERICAN LN, STE 101
LAKE CITY, FL 32055
Columbia County (386) 758-6143
DANIELA RESTREPO ARNP
Nurse Practitioner
4251 NW AMERICAN LN
LAKE CITY, FL 32055
Columbia County (386) 758-6143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jan Kenneth Gonzales's NPI number?

The NPI number for Jan Kenneth Gonzales is 1043820376. It was assigned to this individual provider in the NPPES registry on August 2, 2020.

Where is Jan Kenneth Gonzales located?

Jan Kenneth Gonzales practices at 4251 NW American Ln, Lake City, FL 32055. The listed phone number is (386) 758-6143.

What is Jan Kenneth Gonzales's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jan Kenneth Gonzales enrolled in Medicare?

Yes. Jan Kenneth Gonzales is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jan Kenneth Gonzales affiliated with any hospitals?

According to CMS data, Jan Kenneth Gonzales is affiliated with Hca Florida Lake City Hospital.

When was this NPI record last updated?

The NPPES record for Jan Kenneth Gonzales was last updated on August 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.