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: August 02, 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
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

Secondary Practice Location 1

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

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

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.

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 8

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

Nurse Practitioner (Psychiatric/Mental Health)
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201
Nurse Practitioner (Psychiatric/Mental Health)
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201
Psychiatry & Neurology (Psychiatry)
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201
Psychiatry & Neurology (Psychiatry)
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201
Psychiatry & Neurology (Psychiatry)
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201
Nurse Practitioner (Psychiatric/Mental Health)
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201
Social Worker (Clinical)
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201

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.

What insurance does Alfonso Gonzalez accept?

Health plans from Oscar Insurance Company and UnitedHealthcare 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 10 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.