KIMBERLY GONZALEZ RPA-C
NPI 1982970703
Physician Assistant in Flushing, NY

Q: What is Kimberly Gonzalez's NPI number?

The NPI number for Kimberly Gonzalez is 1982970703. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Q: What is Kimberly Gonzalez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Gonzalez was last updated on May 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 27, 2012PECOS EnrolledAccepts Medicare Assignment

5645 MAIN ST, FLUSHING, NY 11355(718) 670-1020 Get Directions Write a Review

NPPES record last updated: May 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kimberly Gonzalez Rpa-c NPPES

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

KIMBERLY GONZALEZ RPA-C (NPI 1982970703) is an individual physician assistant in Flushing, New York, licensed in New York (015165) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Hospital For Special Surgery, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1982970703

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKIMBERLY GONZALEZCredential: RPA-C

Location Address5645 MAIN STFlushing, NY 11355-5045

Mailing Address15450 11th AveWhitestone, NY 11357-1917 · (718) 300-1472

Phone(718) 670-1020

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMarch 27, 2012

Last NPPES UpdateMay 11, 2012

✔ NPI 1982970703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 015165

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5645 MAIN ST, Flushing, NY 11355

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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

Kimberly Gonzalez Rpa-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.

PECOS PAC ID1951565712

PECOS Enrollment IDI20120607000624

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.

Hospital For Special Surgery

Acute Care Hospitals · New York, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330270

Location535 East 70th StreetNew York, NY 10021 · New York County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11355 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$82.96 typical visit price

range $21.62 – $163.52

Typical copayment $20.74 (range $5.40 – $40.88)

Most-billed visit code 99213

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.

ANA M GHELECHKHANI PA

Physician Assistant (Medical)