JONARD YLARDE GONZALES
NPI 1164905121
Nurse Practitioner - Family in Las Vegas, NV

Q: What is Jonard Gonzales's NPI number?

The NPI number for Jonard Gonzales is 1164905121. It was assigned to this individual provider in the NPPES registry on September 14, 2018.

Q: What is Jonard Gonzales's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jonard Gonzales was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 14, 2018PECOS EnrolledAccepts Medicare Assignment

6240 N DURANGO DR STE 120, LAS VEGAS, NV 89149(954) 923-7440(954) 923-1299 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2022, Sep 14, 2018 (2 updates tracked since 2018).

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About Jonard Ylarde Gonzales NPPES

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

JONARD YLARDE GONZALES (NPI 1164905121) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (813530) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, is affiliated with Summerlin Hospital Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1164905121

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJONARD YLARDE GONZALES

Location Address6240 N DURANGO DR STE 120Las Vegas, NV 89149-3941

Mailing Address8432 Cambria Cellars CtLas Vegas, NV 89139-7164 · (702) 493-6071

Phone(954) 923-7440

Fax(954) 923-1299

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 14, 2018

Last NPPES UpdateJuly 15, 20222 updates tracked since enumeration

NPPES CertifiedJuly 15, 2022

✔ NPI 1164905121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NV · 813530

6240 N DURANGO DR STE 120, Las Vegas, NV 89149

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Other Identifiers 1

Medicaid250005414NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Jonard Ylarde Gonzales 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 ID547696296

PECOS Enrollment IDI20200129000535

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.

Summerlin Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV

2/5 CMS rating

OwnershipProprietary

CMS Certification Number290041

Location657 Town Center DriveLas Vegas, NV 89144 · Clark County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89149 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$15.11 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier13 claims13 services$67.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

MOUNGAR ELTON COOPER M.D.

Surgery