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MARCO ANTONIO GONZALEZ
NPI 1487302170
Nurse Practitioner in Visalia, CA

Active since March 13, 2022PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
221 E CALDWELL AVE, VISALIA, CA 93277(559) 732-4726(559) 732-4726 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 24, 2023, Mar 21, 2023, Aug 30, 2022 and 1 more (4 updates tracked since 2022).

About Marco Antonio Gonzalez NPPES

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

MARCO ANTONIO GONZALEZ (NPI 1487302170) is an individual nurse practitioner in Visalia, California, licensed in California (95024226) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1487302170
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMARCO ANTONIO GONZALEZ
Location Address221 E CALDWELL AVEVisalia, CA 93277-7605
Mailing Address221 E Caldwell AveVisalia, CA 93277-7605 · (559) 732-4726 · Fax (559) 732-4747
Phone(559) 732-4726
Fax(559) 732-4726
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 13, 2022
Last NPPES UpdateOctober 24, 20234 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
✔ NPI 1487302170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95024226
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5015923 (NC)
221 E CALDWELL AVE, Visalia, CA 93277
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marco Antonio Gonzalez 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 ID7113306275
PECOS Enrollment IDI20230417002318
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Marco Gonzalez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

William C Holvik MD A Professional Corporation
Same address
Family Medicine
221 E CALDWELL AVE
Visalia, CA 93277
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1487004784 (559) 732-4726
Cep America - California
2.1 mi
Emergency Medicine
400 W MINERAL KING AVE
Visalia, CA 93291
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1598534216 (California)
  • 2,323 clinicians in this Medicare group
NPI 1558511147 (559) 624-2215

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
375 services216 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.
92 services65 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
20 services17 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services11 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93277 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

Other Providers at the Same Location NPPES 4

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

JOANNE GALINDO NP
Nurse Practitioner (Family)
221 E CALDWELL AVE
VISALIA, CA 93277
Tulare County (559) 732-4726
WILLIAM C HOLVIK M.D.
Family Medicine
221 E CALDWELL AVE
VISALIA, CA 93277
Tulare County (559) 732-4726
WILLIAM C HOLVIK MD A PROFESSIONAL CORPORATION
Family Medicine
221 E CALDWELL AVE
VISALIA, CA 93277
Tulare County (559) 732-4726
MICHAEL PATRICK HULTIN
Nurse Practitioner (Family)
221 E CALDWELL AVE
VISALIA, CA 93277
Tulare County (559) 732-4726

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 Marco Gonzalez's NPI number?

The NPI number for Marco Gonzalez is 1487302170. It was assigned to this individual provider in the NPPES registry on March 13, 2022.

Where is Marco Gonzalez located?

Marco Gonzalez practices at 221 E Caldwell Ave, Visalia, CA 93277. The listed phone number is (559) 732-4726.

What is Marco Gonzalez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Marco Gonzalez enrolled in Medicare?

Yes. Marco 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.

Which organizations bill Medicare for Marco Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marco Gonzalez reassigns Medicare benefits to 2 organizations: William C Holvik MD A Professional Corporation (Visalia, CA) and Cep America - California (Visalia, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marco Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marco Gonzalez was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.