NATALY MENA GONZALES PA-C
NPI 1104446640
Physician Assistant in Fresno, CA

Active since April 24, 2020PECOS EnrolledAccepts Medicare Assignment
85/100
CMS Quality Rating
2823 FRESNO ST, FRESNO, CA 93721(559) 443-2682(559) 443-2681 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2025, May 9, 2025, Apr 24, 2020 (3 updates tracked since 2020).

About Nataly Mena Gonzales Pa-c NPPES

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

NATALY MENA GONZALES PA-C (NPI 1104446640) is an individual physician assistant in Fresno, California, licensed in California (58725) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fresno, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104446640
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNATALY MENA GONZALESCredential: PA-C
Location Address2823 FRESNO STFresno, CA 93721-1324
Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681
Fax(559) 443-2681
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 24, 2020
Last NPPES UpdateJune 3, 20253 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
NPI 1104446640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 58725
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 58725 (CA)
2823 FRESNO ST, Fresno, CA 93721

Secondary Practice Location 1

Location 11510 E Herndon Ave Ste 110Fresno, CA 93720-3333 · Phone (559) 450-6742 · Fax (559) 450-6743

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

Nataly Mena Gonzales Pa-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 ID5597179861
PECOS Enrollment IDI20210127002476
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
22 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93721 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.33
Promoting Interoperability100
Improvement Activities40
Cost45.02

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
2823 FRESNO ST
FRESNO, CA 93721
Physician Assistant (Medical)
2823 FRESNO ST
FRESNO, CA 93721
Nurse Practitioner
2823 FRESNO ST
FRESNO, CA 93721
Physician Assistant (Medical)
2823 FRESNO ST
FRESNO, CA 93721
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2823 FRESNO ST
FRESNO, CA 93721
Nurse Practitioner
2823 FRESNO ST
FRESNO, CA 93721
Pediatrics
2823 FRESNO ST
FRESNO, CA 93721
Registered Nurse (General Practice)
2823 FRESNO ST
FRESNO, CA 93721

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 Nataly Gonzales's NPI number?

The NPI number for Nataly Gonzales is 1104446640. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Where is Nataly Gonzales located?

Nataly Gonzales practices at 2823 Fresno St, Fresno, CA 93721. The listed phone number is (559) 443-2682.

What is Nataly Gonzales's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nataly Gonzales enrolled in Medicare?

Yes. Nataly 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.

When was this NPI record last updated?

The NPPES record for Nataly Gonzales was last updated on June 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.