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MIRIAM GONZALEZ NP
NPI 1639975915
Nurse Practitioner in Cedar Park, TX

Active since February 19, 2025PECOS Enrolled
200 N LAKELINE BLVD STE A, CEDAR PARK, TX 78613(512) 617-3000 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2025, Mar 20, 2025, Feb 19, 2025 (3 updates tracked since 2025).

About Miriam Gonzalez Np NPPES

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

MIRIAM GONZALEZ NP (NPI 1639975915) is an individual nurse practitioner in Cedar Park, Texas, licensed in Texas (1023448) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1639975915
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMIRIAM GONZALEZCredential: NP
Location Address200 N LAKELINE BLVD STE ACedar Park, TX 78613-2089
Mailing Address8800 Willowick DrAustin, TX 78759-7537
Phone(512) 617-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 19, 2025
Last NPPES UpdateMarch 26, 20253 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1639975915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 1023448
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.
200 N LAKELINE BLVD STE A, Cedar Park, TX 78613
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Secondary Practice Location 1

Location 18825 Bee Caves RdAustin, TX 78746-4720 · Phone (512) 328-3376

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miriam Gonzalez Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981182086
PECOS Enrollment IDI20260130000579
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 78613 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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. CHRISTOPHER RIDDELL JONES JR. M.D.
Dermatology
200 N LAKELINE BLVD STE A
CEDAR PARK, TX 78613
Williamson County (512) 617-3000
DR. FABIANA SILVA LOPES MD
Dermatology
200 N LAKELINE BLVD STE A
CEDAR PARK, TX 78613
Williamson County (512) 617-3000

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 Miriam Gonzalez's NPI number?

The NPI number for Miriam Gonzalez is 1639975915. It was assigned to this individual provider in the NPPES registry on February 19, 2025.

Where is Miriam Gonzalez located?

Miriam Gonzalez practices at 200 N Lakeline Blvd Ste A, Cedar Park, TX 78613. The listed phone number is (512) 617-3000.

What is Miriam Gonzalez's specialty?

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

Is Miriam Gonzalez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Miriam Gonzalez was last updated on March 26, 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.