MRS. LISA ELIZABETH GONZALES (CNM) – Advanced Practice Midwife, NPI 1275801425
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
311 CERTIFIED NURSE MIDWIFE (CNM) in CA
Provider Addresses for MRS. LISA ELIZABETH GONZALES (CNM)
101 BODIN CIR
TRAVIS AFB, CA 945351809
Phone: (707) 423-5311
Type: Mailing
77 NEALY AVE
633D MEDICAL GROUP
JOINT BASE LANGLEY- EUSTIS, VA 236652040
Phone: (757) 225-7630
Type: Mailing
PO BOX 255228
SACRAMENTO, CA 958655228
Phone: (800) 470-0071
Fax: (916) 854-6769
Type: Mailing
2020 SUTTER PL STE 203
DAVIS, CA 956166217
Phone: (530) 750-5880
Fax: (530) 750-5881
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $53.
Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.
Last reported payment date: 2024-08-01 • Largest payer in this snapshot: Janssen Biotech, Inc. ($37).
Total Amount
$53
General + Research + Ownership
Payments
2
Total payment records
General Amount
$53
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $37 |
| GE HEALTHCARE | $15 |
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: 2025-12-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251224000856 | I | Certified Nurse Midwife (Cnm) | CA | TBD |
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.
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 94535)
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