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MRS. NICOLE KRYSTAL GONZALEZ FNP-C
NPI 1538639489
Nurse Practitioner - Family in Charlotte, NC

Active since December 03, 2018PECOS Enrolled
10826 MALLARD CREEK RD STE 100, CHARLOTTE, NC 28262(704) 774-3044(704) 774-3045 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 2022, Dec 3, 2018 (2 updates tracked since 2018).

About Mrs. Nicole Krystal Gonzalez Fnp-c NPPES

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

MRS. NICOLE KRYSTAL GONZALEZ FNP-C (NPI 1538639489) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5016697) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Visalia.

NPPES Registry Identity

NPI1538639489
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. NICOLE KRYSTAL GONZALEZCredential: FNP-C
Location Address10826 MALLARD CREEK RD STE 100Charlotte, NC 28262-7785
Mailing Address5536 Kool Springs DrMint Hill, NC 28227-9527 · (559) 786-0127
Phone(704) 774-3044
Fax(704) 774-3045
Sole ProprietorNo
Enumeration DateDecember 3, 2018
Last NPPES UpdateAugust 31, 20222 updates tracked since enumeration
NPPES CertifiedAugust 31, 2022
✔ NPI 1538639489 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 · 5016697✔ Licensed in CA · F06180248
10826 MALLARD CREEK RD STE 100, Charlotte, NC 28262
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Secondary Practice Location 1

Location 1221 E Caldwell AveVisalia, CA 93277-7605 · Phone (559) 342-8350

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nicole Krystal Gonzalez Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28262 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 2

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

DR. CHARLES ALBERT WITHERS II M.D.
Internal Medicine (Rheumatology)
10826 MALLARD CREEK RD STE 100
CHARLOTTE, NC 28262
Mecklenburg County (704) 774-3044
INTEGRATIVE RHEUMATOLOGY PLLC
Internal Medicine (Rheumatology)
10826 MALLARD CREEK RD STE 100
CHARLOTTE, NC 28262
Mecklenburg County (704) 774-3044

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 Gonzalez's NPI number?

The NPI number for Nicole Gonzalez is 1538639489. It was assigned to this individual provider in the NPPES registry on December 3, 2018.

Where is Nicole Gonzalez located?

Nicole Gonzalez practices at 10826 Mallard Creek Rd Ste 100, Charlotte, NC 28262. The listed phone number is (704) 774-3044.

What is Nicole Gonzalez's specialty?

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

Is Nicole Gonzalez enrolled in Medicare?

Yes. Nicole Gonzalez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Gonzalez was last updated on August 31, 2022. 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.