MS. GEMA GONZALEZ ARNP
NPI 1285158576
Nurse Practitioner - Family in Durham, NC

Active since July 28, 2017PECOS EnrolledAccepts Medicare Assignment
20 DUKE MEDICINE CIR, DURHAM, NC 27710(919) 681-6084 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 20, 2019, Sep 10, 2019, Jul 28, 2017 (3 updates tracked since 2017).

About Ms. Gema Gonzalez Arnp NPPES

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

MS. GEMA GONZALEZ ARNP (NPI 1285158576) is an individual family provider in Durham, North Carolina, licensed in North Carolina (5011765) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285158576
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. GEMA GONZALEZCredential: ARNP
Location Address20 DUKE MEDICINE CIRDurham, NC 27710
Mailing Address1014 Arborgate CirChapel Hill, NC 27514-6503 · (305) 804-2579
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 28, 2017
Last NPPES UpdateDecember 20, 20193 updates tracked since enumeration
NPI 1285158576 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
Licenses Licensed in NC · 5011765 Licensed in FL · 9279816
20 DUKE MEDICINE CIR, Durham, NC 27710

Other Identifiers 2

Other5011765NC · North Carolina Board Of Nursing
Medicaid1285158576FL

Accepted 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

Ms. Gema Gonzalez Arnp 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 ID4789944034
PECOS Enrollment IDI20200108001617
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 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.
37 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services22 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Marriage & Family Therapist
20 DUKE MEDICINE CIR
DURHAM, NC 27710
Radiology (Radiation Oncology)
20 DUKE MEDICINE CIR
DURHAM, NC 27710
Counselor
20 DUKE MEDICINE CIR
DURHAM, NC 27710
Nurse Practitioner
20 DUKE MEDICINE CIR
DURHAM, NC 27710
Pharmacist (Oncology)
20 DUKE MEDICINE CIR
DURHAM, NC 27710
Internal Medicine (Hematology & Oncology)
20 DUKE MEDICINE CIR
DURHAM, NC 27710
Pharmacist (Oncology)
20 DUKE MEDICINE CIR
DURHAM, NC 27710
Nurse Practitioner (Family)
20 DUKE MEDICINE CIR
DURHAM, NC 27710

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 Gema Gonzalez's NPI number?

The NPI number for Gema Gonzalez is 1285158576. It was assigned to this individual provider in the NPPES registry on July 28, 2017.

Where is Gema Gonzalez located?

Gema Gonzalez practices at 20 Duke Medicine Cir, Durham, NC 27710. The listed phone number is (919) 681-6084.

What is Gema Gonzalez's specialty?

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

Is Gema Gonzalez enrolled in Medicare?

Yes. Gema Gonzalez 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.

What insurance does Gema Gonzalez accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Gema Gonzalez 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.

Is Gema Gonzalez affiliated with any hospitals?

According to CMS data, Gema Gonzalez is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Gema Gonzalez was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.