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NICOLE R GONZALES MD
NPI 1467481093
Psychiatry & Neurology - Neurology in Aurora, CO

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
12401 E 17TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 7, 2020, Oct 23, 2018 (2 updates tracked since 2018).

About Nicole R Gonzales Md NPPES

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

NICOLE R GONZALES MD (NPI 1467481093) is an individual neurology provider in Aurora, Colorado, licensed in Colorado (DR.0065113) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (2000).

NPPES Registry Identity

NPI1467481093
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameNICOLE R GONZALESCredential: MD
Location Address12401 E 17TH AVEAurora, CO 80045-2548
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Phone(720) 848-0000
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2000
Enumeration DateJuly 3, 2006
Last NPPES UpdateDecember 7, 20202 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
✔ NPI 1467481093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in CO · DR.0065113✔ Licensed in TX · M0736
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Vascular NeurologyTaxonomy 2084V0102X · License M0736 (TX), DR.0065113 (CO)
12401 E 17TH AVE, Aurora, CO 80045
Open in Google Maps ↗

Other Identifiers 2

Medicaid151830001TX
Other8R6147TX · Bcbstx

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Medica.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

Nicole R Gonzales Md 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 ID6901824440
PECOS Enrollment IDI20210105001157
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 7

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
36 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services14 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.
18 services16 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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. ANDREW KOCHVAR DO
Student in an Organized Health Care Education/Training Program
12401 E 17TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
DR. STEPHEN PAUL DUNTLEY MD
Psychiatry & Neurology (Sleep Medicine)
12401 E 17TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
TIFFANY ANN GOOLSBY PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12401 E 17TH AVE
AURORA, CO 80045
Adams County (720) 848-8602
DR. HEMALI P PATEL M.D.
Hospitalist
12401 E 17TH AVE, SUITE 450B MAIL STOP F-782
AURORA, CO 80045
Adams County (720) 848-4289
ANDREW MANSOUR PHARMD
Pharmacist
12401 E 17TH AVE
AURORA, CO 80045
Adams County (720) 848-7873
ANTONIO CERVANTES GONZALEZ
Student in an Organized Health Care Education/Training Program
12401 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-7422
DR. JEANNETTE GUERRASIO MD
Hospitalist
12401 E 17TH AVE, MAIL CODE F782
AURORA, CO 80045
Adams County (720) 848-4289
ANDREW HENNINGER RN
Registered Nurse
12401 E 17TH AVE
AURORA, CO 80045
Adams County (720) 848-0000

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 Nicole Gonzales's NPI number?

The NPI number for Nicole Gonzales is 1467481093. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Nicole Gonzales located?

Nicole Gonzales practices at 12401 E 17th Ave, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Nicole Gonzales's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Nicole Gonzales enrolled in Medicare?

Yes. Nicole 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.

What insurance does Nicole Gonzales accept?

Health plans from Blue Cross and Blue Shield of Texas and Medica list Nicole Gonzales 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 Nicole Gonzales was last updated on December 7, 2020. 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.