MRS. JENNIFER W GONZALEZ PA
NPI 1154519239
Physician Assistant in Beavercreek, OH

Active since October 14, 2007PECOS EnrolledAccepts Medicare Assignment
725 UNIVERSITY BLVD, BEAVERCREEK, OH 45324(937) 245-7200(937) 245-7999 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2022, Jan 15, 2020, Sep 11, 2019 and 1 more (4 updates tracked since 2019).

About Mrs. Jennifer W Gonzalez Pa NPPES

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

MRS. JENNIFER W GONZALEZ PA (NPI 1154519239) is an individual physician assistant in Beavercreek, Ohio, licensed in Ohio (50.007105RX) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with Tennova Healthcare-clarksville, and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1154519239
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. JENNIFER W GONZALEZCredential: PA
Location Address725 UNIVERSITY BLVDBeavercreek, OH 45324-2640
Mailing Address725 University BlvdBeavercreek, OH 45324-2640 · (937) 245-7200 · Fax (937) 245-7999
Fax(937) 245-7999
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2005
Enumeration DateOctober 14, 2007
Last NPPES UpdateSeptember 21, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
NPI 1154519239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in OH · 50.007105RX Licensed in FL · PA9112057
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.
725 UNIVERSITY BLVD, Beavercreek, OH 45324

Secondary Practice Location 1

Location 113330 Usf Laurel DrTampa, FL 33612 · Phone (813) 974-2201

Other Identifiers 3

Medicaid104159800FL
Medicaid0462499OH
Other0EJPXFL · Blue Cross Blue Shield

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

Mrs. Jennifer W Gonzalez Pa 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 ID8527155423
PECOS Enrollment IDI20250306002657
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.

Tennova Healthcare-Clarksville

Acute Care Hospitals · Clarksville, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440035
Location651 Dunlop LaneClarksville, TN 37040 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45324 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

Student in an Organized Health Care Education/Training Program
725 UNIVERSITY BLVD
BEAVERCREEK, OH 45324
Student in an Organized Health Care Education/Training Program
725 UNIVERSITY BLVD
FAIRBORN, OH 45324
Family Medicine
725 UNIVERSITY BLVD
BEAVERCREEK, OH 45324
Family Medicine
725 UNIVERSITY BLVD
BEAVERCREEK, OH 45324
Family Medicine
725 UNIVERSITY BLVD
BEAVERCREEK, OH 45324
Student in an Organized Health Care Education/Training Program
725 UNIVERSITY BLVD
BEAVERCREEK, OH 45324
Student in an Organized Health Care Education/Training Program
725 UNIVERSITY BLVD
BEAVERCREEK, OH 45324
Student in an Organized Health Care Education/Training Program
725 UNIVERSITY BLVD
BEAVERCREEK, OH 45324

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 Jennifer Gonzalez's NPI number?

The NPI number for Jennifer Gonzalez is 1154519239. It was assigned to this individual provider in the NPPES registry on October 14, 2007.

Where is Jennifer Gonzalez located?

Jennifer Gonzalez practices at 725 University Blvd, Beavercreek, OH 45324. The listed phone number is (937) 245-7200.

What is Jennifer Gonzalez's specialty?

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

Is Jennifer Gonzalez enrolled in Medicare?

Yes. Jennifer 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 Jennifer Gonzalez accept?

Health plans from AvMed, BlueCross BlueShield of Tennessee, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and UnitedHealthcare list Jennifer 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.

Is Jennifer Gonzalez affiliated with any hospitals?

According to CMS data, Jennifer Gonzalez is affiliated with Tennova Healthcare-Clarksville.

When was this NPI record last updated?

The NPPES record for Jennifer Gonzalez was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.