MRS. LISSETTE MARIE GONZALEZ MSN, AGACNP-BC
NPI 1649988650
Nurse Practitioner - Acute Care in Miramar, FL

Active since November 08, 2022PECOS EnrolledAccepts Medicare Assignment
4321 SW 160TH AVE APT 104, MIRAMAR, FL 33027(954) 604-5144 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 28, 2022, Nov 8, 2022 (2 updates tracked since 2022).

About Mrs. Lissette Marie Gonzalez Msn, Agacnp-bc NPPES

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

MRS. LISSETTE MARIE GONZALEZ MSN, AGACNP-BC (NPI 1649988650) is an individual acute care provider in Miramar, Florida, licensed in Florida (11022678) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1649988650
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. LISSETTE MARIE GONZALEZCredential: MSN, AGACNP-BC
Location Address4321 SW 160TH AVE APT 104Miramar, FL 33027-5763
Mailing Address4321 Sw 160th Ave Apt 104Miramar, FL 33027-5763 · (954) 604-5144
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 8, 2022
Last NPPES UpdateNovember 28, 20222 updates tracked since enumeration
NPPES CertifiedNovember 28, 2022
NPI 1649988650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in FL · 11022678
4321 SW 160TH AVE APT 104, Miramar, FL 33027

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lissette Marie Gonzalez Msn, Agacnp-bc 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 ID6204209984
PECOS Enrollment IDI20230228000685
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 33027 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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 Lissette Gonzalez's NPI number?

The NPI number for Lissette Gonzalez is 1649988650. It was assigned to this individual provider in the NPPES registry on November 8, 2022.

Where is Lissette Gonzalez located?

Lissette Gonzalez practices at 4321 SW 160th Ave Apt 104, Miramar, FL 33027. The listed phone number is (954) 604-5144.

What is Lissette Gonzalez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lissette Gonzalez enrolled in Medicare?

Yes. Lissette 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.

What insurance does Lissette Gonzalez accept?

Health plans from AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Lissette Gonzalez 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.

When was this NPI record last updated?

The NPPES record for Lissette Gonzalez was last updated on November 28, 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.