KRISTI GONZALES PA-C
NPI 1659772242
Physician Assistant in Mendota, IL

Q: What is Kristi Gonzales's NPI number?

The NPI number for Kristi Gonzales is 1659772242. It was assigned to this individual provider in the NPPES registry on September 15, 2014.

Q: What is Kristi Gonzales's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristi Gonzales was last updated on January 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 15, 2014PECOS EnrolledAccepts Medicare Assignment

1401 E 12TH ST, MENDOTA, IL 61342(815) 538-7200 Get Directions Write a Review

NPPES record last updated: January 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kristi Gonzales Pa-c NPPES

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

KRISTI GONZALES PA-C (NPI 1659772242) is an individual physician assistant in Mendota, Illinois and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Osf Saint Paul Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1659772242

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKRISTI GONZALESCredential: PA-C

Location Address1401 E 12TH STMendota, IL 61342-9216

Mailing Address215 S 11th StRochelle, IL 61068-1930 · (815) 501-1881

Phone(815) 538-7200

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateSeptember 15, 2014

Last NPPES UpdateJanuary 19, 2015

✔ NPI 1659772242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1401 E 12TH ST, Mendota, IL 61342

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.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

Kristi Gonzales Pa-c 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 ID6002138435

PECOS Enrollment IDI20141213000062

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.

Hospital Affiliations CMS Care Compare 2

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

Osf Saint Paul Medical Center

Critical Access Hospitals · Mendota, IL

OwnershipVoluntary non-profit - Church

CMS Certification Number141310

Location1401 E 12th StreetMendota, IL 61342 · La Salle County

Emergency services

Rochelle Community Hospital

Critical Access Hospitals · Rochelle, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141312

Location900 N 2nd StRochelle, IL 61068 · Ogle County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61342 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers21 claims70 services$6.14 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier14 claims14 services$29.53 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

SARA ANN BURD DPT

Physical Medicine & Rehabilitation