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MRS. JASMINE MALEY GONZAGA
NPI 1659877538
Nurse Practitioner - Adult Health in Shelby, MT

Active since April 01, 2018PECOS Enrolled
943 TETON AVE, SHELBY, MT 59474(408) 477-6523 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2021, Sep 17, 2021 (2 updates tracked since 2021).

About Mrs. Jasmine Maley Gonzaga NPPES

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

MRS. JASMINE MALEY GONZAGA (NPI 1659877538) is an individual adult health provider in Shelby, Montana, licensed in West Virginia (110403) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659877538
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. JASMINE MALEY GONZAGA
Location Address943 TETON AVEShelby, MT 59474-1526
Mailing Address943 Teton AveShelby, MT 59474-1526 · (408) 477-6523
Phone(408) 477-6523
Sole ProprietorNo
Enumeration DateApril 1, 2018
Last NPPES UpdateOctober 5, 20212 updates tracked since enumeration
NPPES CertifiedOctober 1, 2021
✔ NPI 1659877538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in WV · 110403
Also ListedRegistered NurseTaxonomy 163W00000X · License 110403 (WV)
943 TETON AVE, Shelby, MT 59474
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Other Names 1

Professional Name (2)Jasmine Maley Gonzaga Np

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jasmine Maley Gonzaga 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jasmine Gonzaga reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Matrix Medical Network Of West
1,031 mi
Nurse Practitioner
9201 E MOUNTAIN VIEW RD, SUITE 220
Scottsdale, AZ 85258
  • Reassigned Medicare billing, West Virginia enrollment
  • 68 clinicians in this Medicare group
NPI 1942569033 (480) 862-1700
Signify Health Medical Associates, PLLC
1,328 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, West Virginia enrollment
  • 228 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800
Matrix Medical Plus
1,530 mi
Nurse Practitioner
424 CHURCH ST STE 2600
Nashville, TN 37219
  • Reassigned Medicare billing, West Virginia enrollment
  • 80 clinicians in this Medicare group
NPI 1376973461 (877) 564-3627

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59474 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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 Jasmine Gonzaga's NPI number?

The NPI number for Jasmine Gonzaga is 1659877538. It was assigned to this individual provider in the NPPES registry on April 1, 2018. The provider is also known as Jasmine Maley Gonzaga Np.

Where is Jasmine Gonzaga located?

Jasmine Gonzaga practices at 943 Teton Ave, Shelby, MT 59474. The listed phone number is (408) 477-6523.

What is Jasmine Gonzaga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jasmine Gonzaga enrolled in Medicare?

Yes. Jasmine Gonzaga is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jasmine Gonzaga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jasmine Gonzaga reassigns Medicare benefits to 3 organizations: Matrix Medical Network Of West (Scottsdale, AZ), Signify Health Medical Associates, PLLC (Dallas, TX) and Matrix Medical Plus (Nashville, TN). 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 Jasmine Gonzaga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jasmine Gonzaga accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Jasmine Gonzaga 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 Jasmine Gonzaga was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.