MR. CLIFFORD FONTANILLA GONZALES CRNA
NPI 1558458042
Nurse Anesthetist, Certified Registered in Winston Salem, NC
About Mr. Clifford Fontanilla Gonzales Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CLIFFORD FONTANILLA GONZALES CRNA (NPI 1558458042) is an individual nurse anesthetist, certified registered in Winston Salem, North Carolina, licensed in North Carolina (2163) and active in the NPI registry since October 2006. He is affiliated with Novant Health Forsyth Medical Center and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mr. Clifford Fontanilla Gonzales Crna 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.
Medicare Billing Reassignments
13Medicare enrollment records show Clifford Gonzales reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Winston Salem, NC 27104
- Reassigned Medicare billing, North Carolina enrollment
- 1,202 clinicians in this Medicare group
Winston-salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- 579 clinicians in this Medicare group
Winston Salem, NC 27103
- Reassigned Medicare billing, North Carolina enrollment
- 719 clinicians in this Medicare group
Clemmons, NC 27012
- Reassigned Medicare billing, North Carolina enrollment
- 543 clinicians in this Medicare group
Kernersville, NC 27284
- Reassigned Medicare billing, North Carolina enrollment
- 543 clinicians in this Medicare group
Greensboro, NC 27401
- Reassigned Medicare billing, North Carolina enrollment
- 63 clinicians in this Medicare group
Salisbury, NC 28144
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Novant Health Rowan Medical Center LLC
- 686 clinicians in this Medicare group
Mooresville, NC 28117
- Reassigned Medicare billing, North Carolina enrollment
- 926 clinicians in this Medicare group
Huntersville, NC 28078
- Reassigned Medicare billing, North Carolina enrollment
- 545 clinicians in this Medicare group
Charlotte, NC 28215
- Reassigned Medicare billing, North Carolina enrollment
- 703 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Novant Health Forsyth Medical Center
Acute Care Hospitals · Winston-Salem, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27157 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
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 Clifford Gonzales's NPI number?
The NPI number for Clifford Gonzales is 1558458042. It was assigned to this individual provider in the NPPES registry on October 6, 2006.
Where is Clifford Gonzales located?
Clifford Gonzales practices at Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 716-3069.
What is Clifford Gonzales's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Clifford Gonzales enrolled in Medicare?
Yes. Clifford 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.
Which organizations bill Medicare for Clifford Gonzales's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clifford Gonzales reassigns Medicare benefits to 13 organizations: Forsyth Memorial Hospital, Inc. (Winston Salem, NC), Medical Park Hospital LLC (Winston-salem, NC), Novant Health Thomasville Medical Center LLC (Winston Salem, NC), Novant Health Clemmons Outpatient Surgery, LLC (Clemmons, NC), Novant Health Kernersville Outpatient Surgery LLC (Kernersville, NC) and 8 more organizations, listed in the Medicare section above. 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 Clifford Gonzales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Clifford Gonzales accept?
Health plans from Cigna Healthcare list Clifford 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.
Is Clifford Gonzales affiliated with any hospitals?
According to CMS data, Clifford Gonzales is affiliated with Novant Health Forsyth Medical Center.
When was this NPI record last updated?
The NPPES record for Clifford Gonzales was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mr. Clifford Fontanilla Gonzales, CRNA · NPI 1558458042
Nurse Anesthetist, Certified Registered physician in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since October 6, 2006.
## Identity
- **NPI:** 1558458042 (Entity type: Individual)
- **Enumerated:** October 6, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 2163 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** MEDICAL CENTER BLVD, Winston Salem, NC 27157-0001
- **Phone:** (336) 716-3069
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 13 organizations under Medicare reassignment (form CMS-855R): Forsyth Memorial Hospital, Inc. (NPI 1265143473, Winston Salem, NC); Medical Park Hospital LLC (NPI 1003867516, Winston-salem, NC); Novant Health Thomasville Medical Center LLC (NPI 1649159609, Winston Salem, NC); Novant Health Clemmons Outpatient Surgery, LLC (NPI 1427697978, Clemmons, NC); Novant Health Kernersville Outpatient Surgery LLC (NPI 1730728270, Kernersville, NC); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** June 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1558458042) · Data from the CMS NPPES public registry.