VANESSA GONZALEZ AGACNP
NPI 1164076071
Nurse Practitioner in Live Oak, TX

Active since July 29, 2019PECOS Enrolled
12500 JUDSON RD, LIVE OAK, TX 78233(210) 967-0096 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2026, Jul 29, 2019 (2 updates tracked since 2019).

About Vanessa Gonzalez Agacnp NPPES

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

VANESSA GONZALEZ AGACNP (NPI 1164076071) is an individual nurse practitioner in Live Oak, Texas, licensed in Texas (1027875) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164076071
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameVANESSA GONZALEZCredential: AGACNP
Location Address12500 JUDSON RDLive Oak, TX 78233-4146
Mailing Address12500 Judson RdLive Oak, TX 78233-4146 · (210) 967-0096
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 29, 2019
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
NPI 1164076071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in TX · 1027875
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.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1027875 (TX)
12500 JUDSON RD, Live Oak, TX 78233

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Vanessa Gonzalez Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022587278
PECOS Enrollment IDI20260515003949
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78233 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Vanessa Gonzalez's NPI number?

The NPI number for Vanessa Gonzalez is 1164076071. It was assigned to this individual provider in the NPPES registry on July 29, 2019.

Where is Vanessa Gonzalez located?

Vanessa Gonzalez practices at 12500 Judson Rd, Live Oak, TX 78233. The listed phone number is (210) 967-0096.

What is Vanessa Gonzalez's specialty?

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

Is Vanessa Gonzalez enrolled in Medicare?

Yes. Vanessa Gonzalez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vanessa Gonzalez was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.