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JENNIFER DEL CARMEN GONZALEZ-HOLMES
NPI 1265040208
Nurse Practitioner in Orange, CT

Active since July 15, 2020PECOS Enrolled
400 W CAMPUS DR, ORANGE, CT 06477(203) 785-2389 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 2, 2020, Jul 15, 2020 (2 updates tracked since 2020).

About Jennifer Del Carmen Gonzalez-holmes NPPES

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

JENNIFER DEL CARMEN GONZALEZ-HOLMES (NPI 1265040208) is an individual nurse practitioner in Orange, Connecticut, licensed in Connecticut (009060) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Haven.

NPPES Registry Identity

NPI1265040208
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER DEL CARMEN GONZALEZ-HOLMES
Location Address400 W CAMPUS DROrange, CT 06477-3646
Mailing Address400 W Campus DrOrange, CT 06477-3646
Phone(203) 785-2389
Sole ProprietorYes
Enumeration DateJuly 15, 2020
Last NPPES UpdateJuly 22, 20252 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1265040208 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 CT · 009060
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 ListedRegistered NurseTaxonomy 163W00000X · License 157400 (CT)
400 W CAMPUS DR, Orange, CT 06477
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Secondary Practice Location 1

Location 1374 Grand AveNew Haven, CT 06513-3733 · Phone (203) 777-7411

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Del Carmen Gonzalez-holmes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jennifer Gonzalez-holmes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fair Haven Community Health Clinic, Inc
5.8 mi
Federally Qualified Health Center (FQHC)
426 EAST ST
New Haven, CT 06511
  • Reassigned Medicare billing, Connecticut enrollment
  • 73 clinicians in this Medicare group
NPI 1043679863 (203) 777-7411

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06477 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

OLIVIA GLACKEN
Student in an Organized Health Care Education/Training Program
400 W CAMPUS DR
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 785-6437
SAMANTHA JADE MOFFETT RN
Nurse Practitioner (Psychiatric/Mental Health)
400 W CAMPUS DR
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 737-2357
KATHERINE SIEGEL APRN
Nurse Practitioner (Acute Care)
400 W CAMPUS DR
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 432-2700
MIKAYLA WALKER
Student in an Organized Health Care Education/Training Program
400 W CAMPUS DR
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 737-3068
SHELBY ROSE THOMASON RN
Student in an Organized Health Care Education/Training Program
400 W CAMPUS DR
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 785-6437
MEGHAN YOUSO
Student in an Organized Health Care Education/Training Program
400 W CAMPUS DR
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 785-2389
LEAH MATTIACCIO PMHNP-BC
Student in an Organized Health Care Education/Training Program
400 W CAMPUS DR
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 785-2389
PEGGY WONG
Student in an Organized Health Care Education/Training Program
400 W CAMPUS DR
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 432-2700

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-holmes's NPI number?

The NPI number for Jennifer Gonzalez-holmes is 1265040208. It was assigned to this individual provider in the NPPES registry on July 15, 2020.

Where is Jennifer Gonzalez-holmes located?

Jennifer Gonzalez-holmes practices at 400 W Campus Dr, Orange, CT 06477. The listed phone number is (203) 785-2389.

What is Jennifer Gonzalez-holmes's specialty?

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

Is Jennifer Gonzalez-holmes enrolled in Medicare?

Yes. Jennifer Gonzalez-holmes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Gonzalez-holmes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Gonzalez-holmes reassigns Medicare benefits to Fair Haven Community Health Clinic, Inc (New Haven, CT). The 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 Jennifer Gonzalez-holmes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Gonzalez-holmes accept?

Health plans from Anthem Blue Cross and Blue Shield list Jennifer Gonzalez-holmes 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.

When was this NPI record last updated?

The NPPES record for Jennifer Gonzalez-holmes was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.