LORETTA GONZALES
NPI 1356005680
Physician Assistant - Medical in Albuquerque, NM

Active since October 22, 2021PECOS EnrolledAccepts Medicare Assignment
10151 MONTGOMERY BLVD NE BLDG 1, ALBUQUERQUE, NM 87111(505) 855-5503(505) 855-5533 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2023, Oct 22, 2021 (2 updates tracked since 2021).

About Loretta Gonzales NPPES

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

LORETTA GONZALES (NPI 1356005680) is an individual medical provider in Albuquerque, New Mexico, licensed in New Mexico (PA2023-0232) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1356005680
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLORETTA GONZALES
Location Address10151 MONTGOMERY BLVD NE BLDG 1Albuquerque, NM 87111-3670
Mailing Address10151 Montgomery Blvd Ne Bldg 1Albuquerque, NM 87111-3670 · (505) 855-5503 · Fax (505) 855-5533
Fax(505) 855-5533
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 22, 2021
Last NPPES UpdateOctober 17, 20252 updates tracked since enumeration
NPPES CertifiedOctober 17, 2025
NPI 1356005680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NM · PA2023-0232
10151 MONTGOMERY BLVD NE BLDG 1, Albuquerque, NM 87111

Other Identifiers 1

OtherPA2023-0232NM · License

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

Loretta Gonzales 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 ID2466813530
PECOS Enrollment IDI20240722002132
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 8

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
339 services64 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.
141 services113 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
108 services83 patients
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.
78 services68 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
60 services55 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
31 services20 patients

Other Providers at the Same Location NPPES 6

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

Specialist
10151 MONTGOMERY BLVD NE BLDG 1, SUITE A
ALBUQUERQUE, NM 87111
Dermatology
10151 MONTGOMERY BLVD NE BLDG 1, SUITE A
ALBUQUERQUE, NM 87111
Specialist
10151 MONTGOMERY BLVD NE BLDG 1, SUITE A
ALBUQUERQUE, NM 87111
Specialist
10151 MONTGOMERY BLVD NE BLDG 1, SUITE A
ALBUQUERQUE, NM 87111
Dermatology
10151 MONTGOMERY BLVD NE BLDG 1
ALBUQUERQUE, NM 87111
Physician Assistant
10151 MONTGOMERY BLVD NE BLDG 1
ALBUQUERQUE, NM 87111

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 Loretta Gonzales's NPI number?

The NPI number for Loretta Gonzales is 1356005680. It was assigned to this individual provider in the NPPES registry on October 22, 2021.

Where is Loretta Gonzales located?

Loretta Gonzales practices at 10151 Montgomery Blvd NE Bldg 1, Albuquerque, NM 87111. The listed phone number is (505) 855-5503.

What is Loretta Gonzales's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Loretta Gonzales enrolled in Medicare?

Yes. Loretta Gonzales 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.

When was this NPI record last updated?

The NPPES record for Loretta Gonzales was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.