LISA M GONZALEZ – Family Nurse Practitioner, NPI 1316583362

LISA M GONZALEZ is a healthcare provider. based in Fruitland park, Florida. specializing in NURSE PRACTITIONER. They hold a License No. APRN11004626 (FL). The NPI Number for LISA M GONZALEZ is 1316583362

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
LISA M GONZALEZ
NPI
1316583362
Phone
(352) 874-9891
Address
5627 TWIN PALMS RD
Enumeration Date
25 November 2019
Last Update Date
14 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3526741710
Graduation Year
2019 (7 years ago)
PAC ID
7416341532
Group Practice PAC ID
2163667288
Professional Enrollment ID
I20220304002037
Address ID
FL321636066TH280XXPLXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

24,500 NURSE PRACTITIONER in FL

Provider Addresses for LISA M GONZALEZ

  • 5627 TWIN PALMS RD

    FRUITLAND PARK, FL 347316058

    Phone: (352) 874-9891

    Type: Mailing

  • 8136 CENTRALIA CT STE 103

    LEESBURG, FL 347883757

    Phone: (352) 343-7246

    Type: Location

  • 1020 LAKE SUMTER LNDG

    THE VILLAGES, FL 321622699

    Phone: (352) 674-8905

    Fax: (352) 674-8901

    Type: Mailing

  • 280 FARNER PL

    THE VILLAGES, FL 321636066

    Phone: (352) 674-1710

    Fax: (352) 674-8910

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $170.

Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.

Last reported payment date: 2023-08-10 • Largest payer in this snapshot: Novo Nordisk Inc ($125).

Total Amount

$170

General + Research + Ownership

Payments

3

Total payment records

General Amount

$170

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-03-04

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
I20220304002037INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4940$0
99214Established patient office or other outpatient visit, 30-39 minutes3825$0
View full utilization report →

Insurance plans in this area (ZIP 34731)

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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: 2163667288View full group profile
NameSpecialtyState
U R O L O G YIL
G A S T R O E N T E R O L O G YFL
Family PracticeIL
Internal MedicineIL
-FL
Family PracticeFL
Internal MedicineFL
Nurse PractitionerFL
Family PracticeFL
Qualified AudiologistFL

Reviews

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Frequently asked questions

How do payers reference LISA M GONZALEZ?
For LISA M GONZALEZ, use NPI 1316583362 as the unique 10-digit identifier.
Is LISA M GONZALEZ still an active registrant?
LISA M GONZALEZ carries an active NPI according to the public dataset.
What kind of doctor is LISA M GONZALEZ?
LISA M GONZALEZ is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is LISA M GONZALEZ located near Fruitland Park?
LISA M GONZALEZ currently maps to Fruitland Park, Florida in this extract.
Can I trust this NPI listing for LISA M GONZALEZ?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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