JESSICA GONZALES
NPI 1720624356
Nurse Practitioner - Family in Travis Afb, CA
About Jessica Gonzales NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA GONZALES (NPI 1720624356) is an individual family provider in Travis Afb, California, licensed in California (95026255) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessica Gonzales is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessica Gonzales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Evansville, IN 47714
- Reassigned Medicare billing, Illinois and Kentucky enrollments
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Herrin Hospital
Acute Care Hospitals · Herrin, ILMercy Health - Lourdes Hospital
Acute Care Hospitals · Paducah, KYBaptist Health Paducah
Acute Care Hospitals · Paducah, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94535 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TRAVIS AFB, CA 94535
TRAVIS AFB, CA 94535
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 Jessica Gonzales's NPI number?
The NPI number for Jessica Gonzales is 1720624356. It was assigned to this individual provider in the NPPES registry on November 19, 2019.
Where is Jessica Gonzales located?
Jessica Gonzales practices at 101 Bodin Cir, Travis Afb, CA 94535. The listed phone number is (916) 561-7491.
What is Jessica Gonzales's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jessica Gonzales enrolled in Medicare?
Yes. Jessica Gonzales is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jessica Gonzales's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Gonzales reassigns Medicare benefits to Pain Management Centers Of America, Psc (Evansville, IN). The 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 Jessica Gonzales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Gonzales accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Jessica Gonzales 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 Jessica Gonzales affiliated with any hospitals?
According to CMS data, Jessica Gonzales is affiliated with Herrin Hospital, Mercy Health - Lourdes Hospital and Baptist Health Paducah.
When was this NPI record last updated?
The NPPES record for Jessica Gonzales was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jessica Gonzales · NPI 1720624356
Family physician in Travis Afb, California. Individual provider, active in the CMS NPPES registry since November 19, 2019.
## Identity
- **NPI:** 1720624356 (Entity type: Individual)
- **Enumerated:** November 19, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95026255 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 BODIN CIR, Travis Afb, CA 94535-1809
- **Phone:** (916) 561-7491
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pain Management Centers Of America, Psc (NPI 1992271811, Evansville, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1720624356) · Data from the CMS NPPES public registry.