DIEGO HUGO GONZALEZ FNP-C
NPI 1982378543
Nurse Practitioner - Family in Draper, UT
About Diego Hugo Gonzalez Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIEGO HUGO GONZALEZ FNP-C (NPI 1982378543) is an individual family provider in Draper, Utah, licensed in Utah (10222776-4405) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted 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
Diego Hugo Gonzalez Fnp-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Diego Gonzalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Provo, UT 84604
- Reassigned Medicare billing, Utah enrollment
- 414 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84020 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DRAPER, UT 84020
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 Diego Gonzalez's NPI number?
The NPI number for Diego Gonzalez is 1982378543. It was assigned to this individual provider in the NPPES registry on August 5, 2021.
Where is Diego Gonzalez located?
Diego Gonzalez practices at 12921 S Vista Station Blvd, Draper, UT 84020. The listed phone number is (801) 687-1020.
What is Diego Gonzalez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Diego Gonzalez enrolled in Medicare?
Yes. Diego 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 organization bills Medicare for Diego Gonzalez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Diego Gonzalez reassigns Medicare benefits to Revere Health PC (Provo, UT). 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 Diego Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Diego Gonzalez accept?
Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, PacificSource Health Plans and Regence BlueCross BlueShield of Utah and 2 other insurers list Diego 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.
When was this NPI record last updated?
The NPPES record for Diego Gonzalez was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Diego Hugo Gonzalez, FNP-C · NPI 1982378543
Family physician in Draper, Utah. Individual provider, active in the CMS NPPES registry since August 5, 2021.
## Identity
- **NPI:** 1982378543 (Entity type: Individual)
- **Enumerated:** August 5, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 10222776-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 12921 S VISTA STATION BLVD, Draper, UT 84020-2376
- **Phone:** (801) 687-1020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Revere Health PC (NPI 1093764805, Provo, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1982378543) · Data from the CMS NPPES public registry.