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MS. MARY GONCALVES
NPI 1265224539
Nurse Practitioner in Nashville, TN

Active since May 21, 2025PECOS Enrolled
300 20TH AVE N FL 7, NASHVILLE, TN 37203(615) 284-1400(615) 284-1420 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Mary Goncalves NPPES

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

MS. MARY GONCALVES (NPI 1265224539) is an individual nurse practitioner in Nashville, Tennessee, licensed in Tennessee (40498) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1265224539
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. MARY GONCALVES
Location Address300 20TH AVE N FL 7Nashville, TN 37203-2178
Mailing Address300 20th Ave N Fl 7Nashville, TN 37203-2178 · (615) 284-1400 · Fax (615) 284-1420
Phone(615) 284-1400
Fax(615) 284-1420
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 21, 2025
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1265224539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · 40498
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.
300 20TH AVE N FL 7, Nashville, TN 37203
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary Goncalves is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072083732
PECOS Enrollment IDI20260523000462
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 Mary Goncalves reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saint Thomas Medical Partners
0.1 mi
Clinical Neuropsychologist
2021 CHURCH ST, STE. 102
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,304 clinicians in this Medicare group
NPI 1558506980 (615) 284-7555

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 37203 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 3

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

DR. LADA SLOAN M.D,
Internal Medicine (Geriatric Medicine)
300 20TH AVE N FL 7
NASHVILLE, TN 37203
Davidson County (615) 284-1400
DR. IVAN LEE FURTADO MD
Internal Medicine
300 20TH AVE N FL 7
NASHVILLE, TN 37203
Davidson County (615) 284-1400
KELSEY HUCK PA-C
Physician Assistant (Surgical)
300 20TH AVE N FL 7
NASHVILLE, TN 37203
Davidson County (615) 284-1400

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 Mary Goncalves's NPI number?

The NPI number for Mary Goncalves is 1265224539. It was assigned to this individual provider in the NPPES registry on May 21, 2025.

Where is Mary Goncalves located?

Mary Goncalves practices at 300 20th Ave N Fl 7, Nashville, TN 37203. The listed phone number is (615) 284-1400.

What is Mary Goncalves's specialty?

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

Is Mary Goncalves enrolled in Medicare?

Yes. Mary Goncalves is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Goncalves's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Goncalves reassigns Medicare benefits to Saint Thomas Medical Partners (Nashville, TN). 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 Mary Goncalves's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Goncalves accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Mary Goncalves 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 Mary Goncalves was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.