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MS. JUDITH ANN GONZALES PMHNP-BC
NPI 1164725339
Nurse Practitioner - Psychiatric/Mental Health in Johnston, IA

Active since December 09, 2010PECOS EnrolledAccepts Medicare Assignment
8460 BIRCHWOOD COURT SUITE 700, JOHNSTON, IA 50131(515) 229-2318(515) 214-1946 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 9, 2025, Apr 6, 2022 (2 updates tracked since 2022).

About Ms. Judith Ann Gonzales Pmhnp-bc NPPES

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

MS. JUDITH ANN GONZALES PMHNP-BC (NPI 1164725339) is an individual psychiatric/mental health provider in Johnston, Iowa, licensed in Iowa (G079336) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1164725339
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. JUDITH ANN GONZALESCredential: PMHNP-BC
Location Address8460 BIRCHWOOD COURT SUITE 700Johnston, IA 50131
Mailing Address2213 Grand AveDes Moines, IA 50312-5305 · (515) 237-3974 · Fax (515) 883-2692
Phone(515) 229-2318
Fax(515) 214-1946
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 9, 2010
Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1164725339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IA · G079336
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License G-079336 (IA)
8460 BIRCHWOOD COURT SUITE 700, Johnston, IA 50131
Open in Google Maps ↗

Other Identifiers 2

Other1164725339IA · Bcbs
Medicaid1932468634IA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Judith Ann Gonzales Pmhnp-bc 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 ID8325226517
PECOS Enrollment IDI20110616000384
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Judith Gonzales reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lc Psychiatry Inc.
Same address
Medical
8460 BIRCHWOOD CT STE 700
Johnston, IA 50131
  • Reassigned Medicare billing, Iowa enrollment
NPI 1649164484 (515) 707-6777
Jg Psychiatry LLC
4.6 mi
Psychiatric/Mental Health
1200 VALLEY WEST DR STE 109
West Des Moines, IA 50266
  • Reassigned Medicare billing, Iowa enrollment
NPI 1184543704 (515) 207-5101

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services25 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
67 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
56 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50131 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 Judith Gonzales's NPI number?

The NPI number for Judith Gonzales is 1164725339. It was assigned to this individual provider in the NPPES registry on December 9, 2010.

Where is Judith Gonzales located?

Judith Gonzales practices at 8460 Birchwood Court Suite 700, Johnston, IA 50131. The listed phone number is (515) 229-2318.

What is Judith Gonzales's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Judith Gonzales enrolled in Medicare?

Yes. Judith 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.

Which organizations bill Medicare for Judith Gonzales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judith Gonzales reassigns Medicare benefits to 2 organizations: Lc Psychiatry Inc. (Johnston, IA) and Jg Psychiatry LLC (West Des Moines, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Judith Gonzales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Judith Gonzales was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.