JACQUELINE GONZALEZ
NPI 1053980953
Physician Assistant - Surgical in Georgetown, TX

Active since June 23, 2021PECOS EnrolledAccepts Medicare Assignment
3721 WILLIAMS DR, GEORGETOWN, TX 78628(512) 869-7310 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 20, 2021, Jun 23, 2021 (2 updates tracked since 2021).

About Jacqueline Gonzalez NPPES

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

JACQUELINE GONZALEZ (NPI 1053980953) is an individual surgical provider in Georgetown, Texas, licensed in Texas (TEMPORARY) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Round Rock, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053980953
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJACQUELINE GONZALEZ
Location Address3721 WILLIAMS DRGeorgetown, TX 78628-2401
Mailing Address3721 Williams DrGeorgetown, TX 78628-2401
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 23, 2021
Last NPPES UpdateSeptember 20, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2021
NPI 1053980953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in TX · TEMPORARY
Also ListedPhysician AssistantTaxonomy 363A00000X · License PATEMP (TX)
3721 WILLIAMS DR, Georgetown, TX 78628

Secondary Practice Location 1

Location 1201 University Oaks Ste 1260Round Rock, TX 78665-2437 · Phone (512) 537-4191

Accepted Insurance

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

Jacqueline Gonzalez 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 ID3375921620
PECOS Enrollment IDI20220527001905
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.

Other Providers at the Same Location NPPES 8

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

Orthopaedic Surgery (Foot and Ankle Surgery)
3721 WILLIAMS DR
GEORGETOWN, TX 78628
Family Medicine
3721 WILLIAMS DR
GEORGETOWN, TX 78628
Pediatrics
3721 WILLIAMS DR
GEORGETOWN, TX 78628
Physician Assistant
3721 WILLIAMS DR
GEORGETOWN, TX 78628
Physician Assistant
3721 WILLIAMS DR
GEORGETOWN, TX 78628
Family Medicine
3721 WILLIAMS DR
GEORGETOWN, TX 78628
Surgery
3721 WILLIAMS DR
GEORGETOWN, TX 78628
Nurse Practitioner (Family)
3721 WILLIAMS DR
GEORGETOWN, TX 78628

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 Jacqueline Gonzalez's NPI number?

The NPI number for Jacqueline Gonzalez is 1053980953. It was assigned to this individual provider in the NPPES registry on June 23, 2021.

Where is Jacqueline Gonzalez located?

Jacqueline Gonzalez practices at 3721 Williams Dr, Georgetown, TX 78628. The listed phone number is (512) 869-7310.

What is Jacqueline Gonzalez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jacqueline Gonzalez enrolled in Medicare?

Yes. Jacqueline Gonzalez 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.

What insurance does Jacqueline Gonzalez accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Jacqueline Gonzalez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Gonzalez was last updated on September 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.