JACQUELINE GONZALEZ APN
NPI 1639455330
Nurse Practitioner - Family in Sparks, NV

Q: What is Jacqueline Gonzalez's NPI number?

The NPI number for Jacqueline Gonzalez is 1639455330. It was assigned to this individual provider in the NPPES registry on October 25, 2011.

Q: What is Jacqueline Gonzalez's specialty?

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

Active since October 25, 2011PECOS Enrolled

202 LOS ALTOS PKWY, SPARKS, NV 89436(775) 982-5000(775) 982-3900 Get Directions Write a Review

NPPES record last updated: December 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jacqueline Gonzalez Apn NPPES

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

JACQUELINE GONZALEZ APN (NPI 1639455330) is an individual family provider in Sparks, Nevada, licensed in Nevada (APN001338) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639455330

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACQUELINE GONZALEZCredential: APN

Location Address202 LOS ALTOS PKWYSparks, NV 89436-7708

Mailing Address780 Kuenzli St, Suite 202Reno, NV 89502-0845 · (775) 982-5966 · Fax (775) 982-5496

Phone(775) 982-5000

Fax(775) 982-3900

Sole ProprietorNo

Enumeration DateOctober 25, 2011

Last NPPES UpdateDecember 17, 2015

✔ NPI 1639455330 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

License✔ Licensed in NV · APN001338

202 LOS ALTOS PKWY, Sparks, NV 89436

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Gonzalez Apn 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 89436 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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 6

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

OLIVIA VALENTINA ZICARI FNP-C

Nurse Practitioner (Family)