1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Nurse Practitioner
  6. NPI Profile

STEPHANIE GONZALEZ NP
NPI 1710640735
Nurse Practitioner - Family in Charlotte, NC

Active since October 17, 2021PECOS EnrolledAccepts Medicare Assignment
3541 RANDOLPH RD STE 303, CHARLOTTE, NC 28211(704) 333-0465 Get Directions Write a Review

NPPES record last updated: October 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Gonzalez Np NPPES

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

STEPHANIE GONZALEZ NP (NPI 1710640735) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (284180) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1710640735
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE GONZALEZCredential: NP
Location Address3541 RANDOLPH RD STE 303Charlotte, NC 28211-5122
Mailing Address3541 Randolph Rd Ste 303Charlotte, NC 28211-5122
Phone(704) 333-0465
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 17, 2021
NPPES CertifiedOctober 17, 2021
✔ NPI 1710640735 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 NC · 284180
3541 RANDOLPH RD STE 303, Charlotte, NC 28211
Open in Google Maps ↗

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

Stephanie Gonzalez Np 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 ID143709915
PECOS Enrollment IDI20260211002614
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 3

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

STARTBUPE SERVICES INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
3541 RANDOLPH RD STE 303
CHARLOTTE, NC 28211
Mecklenburg County (704) 246-4644
MARIAGRACIA LUCIA ROJAS PA-C
Physician Assistant
3541 RANDOLPH RD STE 303
CHARLOTTE, NC 28211
Mecklenburg County (704) 333-0465
RO'SHAWN SIMON
Nurse Practitioner (Family)
3541 RANDOLPH RD STE 303
CHARLOTTE, NC 28211
Mecklenburg County (704) 523-2565

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 Stephanie Gonzalez's NPI number?

The NPI number for Stephanie Gonzalez is 1710640735. It was assigned to this individual provider in the NPPES registry on October 17, 2021.

Where is Stephanie Gonzalez located?

Stephanie Gonzalez practices at 3541 Randolph Rd Ste 303, Charlotte, NC 28211. The listed phone number is (704) 333-0465.

What is Stephanie Gonzalez's specialty?

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

Is Stephanie Gonzalez enrolled in Medicare?

Yes. Stephanie 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.

When was this NPI record last updated?

The NPPES record for Stephanie Gonzalez was last updated on October 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.