MARISOL GONZALEZ (APRN) – Gerontology Nurse Practitioner, NPI 1679138226

MARISOL GONZALEZ (APRN) is a healthcare provider. based in Winter park, Florida. specializing in Gerontology Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. APRN11001420 (FL). The NPI Number for MARISOL GONZALEZ (APRN) is 1679138226

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MARISOL GONZALEZ (APRN)
NPI
1679138226
Phone
(407) 845-8356
Address
1605 W FAIRBANKS AVE
Enumeration Date
8 May 2019
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4073332142
Graduation Year
2018 (8 years ago)
PAC ID
3971837592
Group Practice PAC ID
5395786651
Professional Enrollment ID
I20190701001856
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

Provider Addresses for MARISOL GONZALEZ (APRN)

  • 1605 W FAIRBANKS AVE

    WINTER PARK, FL 327894603

    Phone: (407) 845-8356

    Type: Mailing

  • 480 WINDING CREEK PL

    LONGWOOD, FL 327796117

    Phone: (407) 592-7675

    Type: Mailing

  • Florida Hospital Orlando Emergency Room, 601, Rollins Street, Orlando, Orange County, Florida, 32803, United States

    ORLANDO, FL 328031248

    Phone: (407) 303-6611

    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 $256.

Total Amount is formed as General ($256) + Research ($0) + Ownership ($0) = $256.

Last reported payment date: 2023-11-16 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($134).

Total Amount

$256

General + Research + Ownership

Payments

2

Total payment records

General Amount

$256

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-16

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: 2019-07-01

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
I20190701001856INurse 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 32789)

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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: 5395786651View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineFL
Nurse PractitionerFL
Cardiovascular Disease (Cardiology), Interventional CardiologyFL
Internal Medicine, Cardiovascular Disease (Cardiology)FL
-FL
Nurse PractitionerFL
-FL
Cardiovascular Disease (Cardiology)FL
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How do payers reference MARISOL GONZALEZ (APRN)?
For MARISOL GONZALEZ (APRN), use NPI 1679138226 as the unique 10-digit identifier.
Is there an active status for MARISOL GONZALEZ (APRN)?
For scheduling context, MARISOL GONZALEZ (APRN) is shown as active in the registry.
How would a patient describe MARISOL GONZALEZ (APRN)'s focus?
For MARISOL GONZALEZ (APRN), the primary taxonomy reads as Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MARISOL GONZALEZ (APRN)?
Directory geography for MARISOL GONZALEZ (APRN) centers on Winter Park, Florida.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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