MRS. KRISTYN P GONZAGA NP
NPI 1750170411
Nurse Practitioner - Primary Care in Costa Mesa, CA

Q: What is Kristyn Gonzaga's NPI number?

The NPI number for Kristyn Gonzaga is 1750170411. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Q: What is Kristyn Gonzaga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Kristyn Gonzaga was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 30, 2025PECOS EnrolledAccepts Medicare Assignment

3090 BRISTOL ST STE 200, COSTA MESA, CA 92626(888) 789-9585(562) 803-4500 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Kristyn P Gonzaga Np NPPES

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

MRS. KRISTYN P GONZAGA NP (NPI 1750170411) is an individual primary care provider in Costa Mesa, California, licensed in California (95032936) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1750170411

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMRS. KRISTYN P GONZAGACredential: NP

Location Address3090 BRISTOL ST STE 200Costa Mesa, CA 92626-3061

Mailing Address3090 Bristol St Ste 200Costa Mesa, CA 92626-3061 · (888) 789-9585 · Fax (562) 803-4500

Phone(888) 789-9585

Fax(562) 803-4500

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateApril 30, 2025

Last NPPES UpdateFebruary 4, 2026

NPPES CertifiedFebruary 4, 2026

✔ NPI 1750170411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in CA · 95032936

3090 BRISTOL ST STE 200, Costa Mesa, CA 92626

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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

Mrs. Kristyn P Gonzaga 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 ID1153838834

PECOS Enrollment IDI20250728002738

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 92626 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 20

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

DR. SHELLEY H HAN M.D.

Internal Medicine