ALYXANDRIA GONZALES
NPI 1659053924
Nurse Practitioner - Family in West Haven, UT

Q: What is Alyxandria Gonzales's NPI number?

The NPI number for Alyxandria Gonzales is 1659053924. It was assigned to this individual provider in the NPPES registry on August 4, 2023.

Q: What is Alyxandria Gonzales's specialty?

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

Active since August 04, 2023PECOS EnrolledAccepts Medicare Assignment

2620 W 1925 S, WEST HAVEN, UT 84401(801) 645-6670 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Alyxandria Gonzales NPPES

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

ALYXANDRIA GONZALES (NPI 1659053924) is an individual family provider in West Haven, Utah, licensed in Utah (8445452-4405) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1659053924

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALYXANDRIA GONZALES

Location Address2620 W 1925 SWest Haven, UT 84401-3487

Mailing Address2620 W 1925 SWest Haven, UT 84401-3487 · (801) 645-6670

Phone(801) 645-6670

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 4, 2023

NPPES CertifiedAugust 4, 2023

✔ NPI 1659053924 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 UT · 8445452-4405

2620 W 1925 S, West Haven, UT 84401

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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

Alyxandria Gonzales 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 ID9638533821

PECOS Enrollment IDI20230906002430

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.

Medicare Billing Reassignments

Medicare enrollment records show Alyxandria Gonzales reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gary F Holland MD PC

13 mi

Family Medicine

375 N MAIN ST STE 103
Kaysville, UT 84037

Reassigned Medicare billing, Utah enrollment
12 clinicians in this Medicare group

NPI 1598861999 (801) 876-3749

Mmg LLC

32 mi

Nurse Practitioner

302 W 5400 S STE 200
Murray, UT 84107

Reassigned Medicare billing, Utah enrollment
10 clinicians in this Medicare group

NPI 1295392645 (801) 456-2333

Ma Bo Inc

32 mi

Family Medicine

522 E 100 S
Salt Lake City, UT 84102

Reassigned Medicare billing, Utah enrollment
27 clinicians in this Medicare group

NPI 1275182487 (801) 485-5055

Summit Medical Center LLC

39 mi

Family Medicine

3390 W SIGNAL PEAK DR # 121
Taylorsville, UT 84129

Reassigned Medicare billing, Utah enrollment
5 clinicians in this Medicare group

NPI 1568250835 (801) 848-9016

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

67 services42 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

44 services29 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460004

Location4401 Harrison BoulevardOgden, UT 84403 · Weber County

Emergency services Birthing friendly

Holy Cross Hospital-Davis

Acute Care Hospitals · Layton, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460041

Location1600 West Antelope DriveLayton, UT 84041 · Davis County

Emergency services Birthing friendly

Intermountain Health Layton Hospital

Acute Care Hospitals · Layton, UT

OwnershipVoluntary non-profit - Private

CMS Certification Number460061

Location201 West Layton ParkwayLayton, UT 84041 · Davis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84401 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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 Alyxandria Gonzales's NPI number?

The NPI number for Alyxandria Gonzales is 1659053924. It was assigned to this individual provider in the NPPES registry on August 4, 2023.

Where is Alyxandria Gonzales located?

Alyxandria Gonzales practices at 2620 W 1925 S, West Haven, UT 84401. The listed phone number is (801) 645-6670.

What is Alyxandria Gonzales's specialty?

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

Is Alyxandria Gonzales enrolled in Medicare?

Yes. Alyxandria 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 Alyxandria Gonzales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyxandria Gonzales reassigns Medicare benefits to 4 organizations: Gary F Holland MD PC (Kaysville, UT), Mmg LLC (Murray, UT), Ma Bo Inc (Salt Lake City, UT) and Summit Medical Center LLC (Taylorsville, UT). 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 Alyxandria Gonzales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alyxandria Gonzales accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health list Alyxandria 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 Alyxandria Gonzales affiliated with any hospitals?

According to CMS data, Alyxandria Gonzales is affiliated with St Luke's Regional Medical Center, Mckay-Dee Hospital, Holy Cross Hospital-Davis and Intermountain Health Layton Hospital.

When was this NPI record last updated?

The NPPES record for Alyxandria Gonzales was last updated on August 4, 2023. 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.