GEORGIA FAE GONZALEZ (APRN, FNP-C) – Family Nurse Practitioner, NPI 1457874711

GEORGIA FAE GONZALEZ (APRN, FNP-C) is a healthcare provider. based in Summerfield, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. 9325056 (FL). The NPI Number for GEORGIA FAE GONZALEZ (APRN, FNP-C) is 1457874711

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
GEORGIA FAE GONZALEZ (APRN, FNP-C)
NPI
1457874711
Phone
(352) 693-2340
Address
17820 SE 109th Ave Ste 108
Enumeration Date
19 July 2017
Last Update Date
7 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3528733800
Graduation Year
2017 (9 years ago)
PAC ID
9931451143
Group Practice PAC ID
5092865568
Professional Enrollment ID
I20181016001230
Address ID
FL344711364OC1651XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for GEORGIA FAE GONZALEZ (APRN, FNP-C)

  • 17820 SE 109th Ave Ste 108

    Summerfield, FL 344918968

    Phone: (352) 693-2340

    Fax: (352) 693-2345

    Type: Location

  • 4414 SW College Rd Unit 1470

    Ocala, FL 344742702

    Phone: (352) 240-3699

    Type: Location

  • Health Mart, 20312, Robinson Road, Dunnellon, Marion County, Florida, 34431, United States

    DUNNELLON, FL 344316518

    Phone: (352) 489-0126

    Fax: (352) 489-0129

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-04-27 • Largest payer in this snapshot: ABBVIE INC. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$17
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: 2018-10-16

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
I20181016001230INurse 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
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes72447$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes538128$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes30995$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and8762$0
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a4930$0
View full utilization report →

Insurance plans in this area (ZIP 34491)

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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: 5092865568View full group profile
NameSpecialtyState
-FL
Nurse PractitionerFL
Geriatric Medicine, Hospice/Palliative CareFL
Nurse PractitionerFL
-FL
Nurse PractitionerFL
-FL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I verify GEORGIA FAE GONZALEZ (APRN, FNP-C) with an NPI only?
You can start verification with NPI 1457874711 for GEORGIA FAE GONZALEZ (APRN, FNP-C), then check state licensing separately.
Is GEORGIA FAE GONZALEZ (APRN, FNP-C) listed as active for patients and plans?
The listing shows GEORGIA FAE GONZALEZ (APRN, FNP-C) as active in the NPI system.
What healthcare role does GEORGIA FAE GONZALEZ (APRN, FNP-C) hold?
Scheduling teams often label GEORGIA FAE GONZALEZ (APRN, FNP-C) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does GEORGIA FAE GONZALEZ (APRN, FNP-C) list a practice location?
Patients near Summerfield, Florida may find GEORGIA FAE GONZALEZ (APRN, FNP-C) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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