1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Nurse Practitioner
  6. NPI Profile

ALFONSO GONZALEZ PMHNP-BC
NPI 1679389845
Nurse Practitioner - Psychiatric/Mental Health in Detroit, MI

Active since December 03, 2024PECOS EnrolledAccepts Medicare Assignment
3901 CHRYSLER DR STE 3B, DETROIT, MI 48201(313) 577-1396(313) 577-1419 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2025, Dec 3, 2024 (2 updates tracked since 2024).

About Alfonso Gonzalez Pmhnp-bc NPPES

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

ALFONSO GONZALEZ PMHNP-BC (NPI 1679389845) is an individual psychiatric/mental health provider in Detroit, Michigan, licensed in Michigan (4704367893) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS, is affiliated with Detroit Receiving Hospital, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1679389845
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameALFONSO GONZALEZCredential: PMHNP-BC
Location Address3901 CHRYSLER DR STE 3BDetroit, MI 48201-2167
Mailing Address400 Mack AveDetroit, MI 48201-2136
Phone(313) 577-1396
Fax(313) 577-1419
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 3, 2024
Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1679389845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704367893
3901 CHRYSLER DR STE 3B, Detroit, MI 48201
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 Washington Ave S Ste 1210Minneapolis, MN 55401-2511 · Phone (866) 492-5336

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Alfonso Gonzalez Pmhnp-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 ID2860996337
PECOS Enrollment IDI20250917004342
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

2

Medicare enrollment records show Alfonso Gonzalez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Physician Group
Same address
Counselor
3901 CHRYSLER DR, TOLAN PARK
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 731 clinicians in this Medicare group
NPI 1447465661 (313) 993-3434
Neighborhood Service Organization
4.7 mi
Community/Behavioral Health
882 OAKMAN BLVD, STE. C
Detroit, MI 48238
  • Reassigned Medicare billing, Michigan enrollment
  • 50 clinicians in this Medicare group
NPI 1891825808 (313) 961-4890

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

Hospital Affiliations CMS Care Compare

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

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230273
Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 9

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

MR. VICTOR D CAVATAIO JR. PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201
Wayne County (313) 577-1396
SAMANTHA TEACH
Nurse Practitioner (Psychiatric/Mental Health)
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201
Wayne County (313) 577-1396
DR. FRANCESCA PERNICE PHD
Psychologist (Clinical)
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201
Wayne County (313) 577-1396
NICHOLAS MISCHEL MD
Psychiatry & Neurology (Psychiatry)
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201
Wayne County (313) 577-1396
AUM AEEMAN MEMON M.B.B.S.
Psychiatry & Neurology (Psychiatry)
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201
Wayne County (313) 577-1396
SOPHIA DAN QING HE MD
Student in an Organized Health Care Education/Training Program
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201
Wayne County (313) 577-1396
RAMI NAOM
Psychiatry & Neurology (Psychiatry)
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201
Wayne County (313) 577-1396
MRS. SOUAD ALFARAJ PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201
Wayne County (313) 577-1396

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 Alfonso Gonzalez's NPI number?

The NPI number for Alfonso Gonzalez is 1679389845. It was assigned to this individual provider in the NPPES registry on December 3, 2024.

Where is Alfonso Gonzalez located?

Alfonso Gonzalez practices at 3901 Chrysler Dr Ste 3B, Detroit, MI 48201. The listed phone number is (313) 577-1396.

What is Alfonso Gonzalez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Alfonso Gonzalez enrolled in Medicare?

Yes. Alfonso 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.

Which organizations bill Medicare for Alfonso Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alfonso Gonzalez reassigns Medicare benefits to 2 organizations: University Physician Group (Detroit, MI) and Neighborhood Service Organization (Detroit, MI). 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 Alfonso Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alfonso Gonzalez accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Alfonso 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.

Is Alfonso Gonzalez affiliated with any hospitals?

According to CMS data, Alfonso Gonzalez is affiliated with Detroit Receiving Hospital.

When was this NPI record last updated?

The NPPES record for Alfonso Gonzalez was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.