CASSIE LEE GONZALES APN
NPI 1306169701
Nurse Practitioner - Family in Texarkana, TX
About Cassie Lee Gonzales Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CASSIE LEE GONZALES APN (NPI 1306169701) is an individual family provider in Texarkana, Texas, licensed in Texas (R73142) and active in the NPI registry since March 2010. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Cassie Lee Gonzales Apn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2017 through October 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TEXARKANA, TX 75503
TEXARKANA, TX 75503
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 Cassie Gonzales's NPI number?
The NPI number for Cassie Gonzales is 1306169701. It was assigned to this individual provider in the NPPES registry on March 12, 2010.
Where is Cassie Gonzales located?
Cassie Gonzales practices at 2602 Saint Michael Dr, Texarkana, TX 75503. The listed phone number is (903) 614-5090.
What is Cassie Gonzales's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Cassie Gonzales enrolled in Medicare?
No. Cassie Gonzales has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Cassie Gonzales was last updated on March 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Cassie Lee Gonzales, APN · NPI 1306169701
Family physician in Texarkana, Texas. Individual provider, active in the CMS NPPES registry since March 12, 2010.
## Identity
- **NPI:** 1306169701 (Entity type: Individual)
- **Enumerated:** March 12, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R73142 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2602 SAINT MICHAEL DR, Texarkana, TX 75503-2387
- **Phone:** (903) 614-5090
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** March 12, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1306169701) · Data from the CMS NPPES public registry.