MRS. JENNA LEE GONZALES AGACNP
NPI 1275048357
Nurse Practitioner - Acute Care in Phoenix, AZ

Q: What is Jenna Gonzales's NPI number?

The NPI number for Jenna Gonzales is 1275048357. It was assigned to this individual provider in the NPPES registry on December 11, 2017.

Q: What is Jenna Gonzales's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jenna Gonzales was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 11, 2017PECOS EnrolledAccepts Medicare Assignment

2777 E CAMELBACK RD STE 200, PHOENIX, AZ 85016(602) 952-0002(602) 224-9119 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 10, 2021, Sep 18, 2019, Dec 11, 2017 (3 updates tracked since 2017).

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About Mrs. Jenna Lee Gonzales Agacnp NPPES

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

MRS. JENNA LEE GONZALES AGACNP (NPI 1275048357) is an individual acute care provider in Phoenix, Arizona, licensed in Arizona (AP10820) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1275048357

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. JENNA LEE GONZALESCredential: AGACNP

Location Address2777 E CAMELBACK RD STE 200Phoenix, AZ 85016-4352

Mailing Address2777 E Camelback Rd Ste 200Phoenix, AZ 85016-4352 · (602) 952-0002 · Fax (602) 224-9119

Phone(602) 952-0002

Fax(602) 224-9119

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateDecember 11, 2017

Last NPPES UpdateMay 10, 20213 updates tracked since enumeration

NPPES CertifiedApril 14, 2021

✔ NPI 1275048357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in AZ · AP10820

2777 E CAMELBACK RD STE 200, Phoenix, AZ 85016

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.Insurance ›

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

Mrs. Jenna Lee Gonzales Agacnp 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 ID4385906007

PECOS Enrollment IDI20180316001383

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.

Areas of Expertise CMS Part B claims 4

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.

154 services109 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

40 services36 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

28 services28 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

24 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

DR. MARWAN M BAHU M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)