XENIA S GONZALEZ (FNP) – Nurse Practitioner, NPI 1881633691

XENIA S GONZALEZ (FNP) is a healthcare provider. based in Wasilla, Alaska. specializing in Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 874 (AK). The NPI Number for XENIA S GONZALEZ (FNP) is 1881633691

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
XENIA S GONZALEZ (FNP)
NPI
1881633691
Phone
(907) 376-2411
Address
1363 W SPRUCE AVE
Enumeration Date
6 June 2006
Last Update Date
20 May 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9073761276
Graduation Year
2004 (22 years ago)
PAC ID
8921010471
Group Practice PAC ID
7517959299
Professional Enrollment ID
I20060627000032
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for XENIA S GONZALEZ (FNP)

  • Mat-Su Health Services Medical Clinic, 1363, West Spruce Avenue, Wasilla, Matanuska-Susitna, Alaska, 99654, United States

    WASILLA, AK 996545327

    Phone: (907) 376-2411

    Fax: (907) 352-3363

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060627000032INurse PractitionerAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99654)

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Reviews

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Frequently asked questions

What federal number belongs to XENIA S GONZALEZ (FNP)?
The federal identifier for XENIA S GONZALEZ (FNP) is NPI 1881633691.
Is XENIA S GONZALEZ (FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is XENIA S GONZALEZ (FNP)?
The page reflects Nurse Practitioner for XENIA S GONZALEZ (FNP). Clinical services aligned with this taxonomy classification.
What location shows for XENIA S GONZALEZ (FNP)?
We surface Wasilla, Alaska for XENIA S GONZALEZ (FNP) based on available NPPES addresses.
What if Wasilla, Alaska seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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