ANDRES GONZALEZ GARCIA – Psychiatric/Mental Health Nurse Practitioner, NPI 1255196325

ANDRES GONZALEZ GARCIA is a healthcare provider. based in Pembroke pines, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11031268 (FL). The NPI Number for ANDRES GONZALEZ GARCIA is 1255196325

Main info

Male
Sole Proprietor
3 Years Of Experience
Name
ANDRES GONZALEZ GARCIA
NPI
1255196325
Phone
(954) 391-9478
Address
12542 PINES BLVD
Enumeration Date
19 February 2024
Last Update Date
31 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7865348366
Graduation Year
2023 (3 years ago)
PAC ID
5193218105
Group Practice PAC ID
4587946793
Professional Enrollment ID
I20251208000461
Address ID
FL331653636MI3621XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for ANDRES GONZALEZ GARCIA

  • 12542 PINES BLVD

    PEMBROKE PINES, FL 330271713

    Phone: (954) 391-9478

    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: 2025-12-08

PECOS data refreshed: 2026-06-15

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
I20251208000461INurse PractitionerFLTBD

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 33027)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587946793View full group profile
NameSpecialtyState
Mental Health CounselorFL
Nurse PractitionerFL
Clinical Social WorkerFL
Nurse PractitionerFL
Mental Health CounselorFL
Nurse PractitionerFL
Nurse PractitionerFL
P S Y C H I A T R YFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How do payers reference ANDRES GONZALEZ GARCIA?
For ANDRES GONZALEZ GARCIA, use NPI 1255196325 as the unique 10-digit identifier.
Is ANDRES GONZALEZ GARCIA shown as active in public data?
Registry records indicate ANDRES GONZALEZ GARCIA maintains an active NPI.
What kind of doctor is ANDRES GONZALEZ GARCIA?
ANDRES GONZALEZ GARCIA is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for ANDRES GONZALEZ GARCIA?
Travel planning: use Pembroke Pines, Florida as the reference point for ANDRES GONZALEZ GARCIA, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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