MAGDALENA MARIE GONZALEZ (PA) – Surgical Physician Assistant, NPI 1700992559

MAGDALENA MARIE GONZALEZ (PA) is a healthcare provider. based in Hollywood, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9103081 (FL). The NPI Number for MAGDALENA MARIE GONZALEZ (PA) is 1700992559

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MAGDALENA MARIE GONZALEZ (PA)
NPI
1700992559
Phone
(954) 265-5961
Address
1150 N 35TH AVE STE 600
Enumeration Date
22 August 2006
Last Update Date
16 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9542659976
Graduation Year
2004 (22 years ago)
PAC ID
4981781200
Group Practice PAC ID
8123927373
Professional Enrollment ID
I20080410000086
Address ID
FL330215421HO3501XSTXX300

Contacts

Secure Messaging
mgonzalez13926@MHSDIRECT.NET
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MAGDALENA MARIE GONZALEZ (PA)

  • 1150 N 35TH AVE STE 600

    HOLLYWOOD, FL 33021

    Phone: (954) 265-5961

    Fax: (954) 265-2933

    Type: Location

  • 2900, Corporate Way, Miramar, Broward County, Florida, 33025, United States

    DOOR D

    MIRAMAR, FL 330253925

    Phone: (954) 276-5685

    Fax: (954) 985-7074

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $573.

Total Amount is formed as General ($573) + Research ($0) + Ownership ($0) = $573.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($413).

Total Amount

$573

General + Research + Ownership

Payments

20

Total payment records

General Amount

$573

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2008-04-10

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
I20080410000086IPhysician AssistantFLTBD

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 33021)

Loading plans...

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: 8123927373View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for MAGDALENA MARIE GONZALEZ (PA)?
The registry entry for MAGDALENA MARIE GONZALEZ (PA) shows NPI 1700992559.
Is MAGDALENA MARIE GONZALEZ (PA) currently accepting referrals based on NPI status?
Registry metadata lists MAGDALENA MARIE GONZALEZ (PA) as active.
What services align with MAGDALENA MARIE GONZALEZ (PA)'s listing?
MAGDALENA MARIE GONZALEZ (PA)'s public classification highlights Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MAGDALENA MARIE GONZALEZ (PA) tied to Hollywood, Florida?
If you are local to Hollywood, Florida, MAGDALENA MARIE GONZALEZ (PA) may be relevant to your search.
Who maintains MAGDALENA MARIE GONZALEZ (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

CHRISTINA S HARMAN (PA)

Physician Assistant
2 OFFICE PARK CT STE 103
NPI: 1659360691

EDUARDO BATISTA (P.A.)

Physician Assistant
2900 CORPORATE WAY
NPI: 1649206517

TAMMY A DORFMAN (PA-C)

Surgical Physician Assistant
2500 Rocky Mountain Ave Ste 350
NPI: 1225061781
1150 N 35th Ave
NPI: 1326073214

PAMELA MILLER (PA-C)

Physician Assistant
1874 West Ave
NPI: 1487672655

Memorial Division of Professional Services

Surgical Physician Assistant
2900, Corporate Way, Miramar, Broward County, Florida, 33025, United States
NPI: 1285641209

LOUIS CARLISLE (PA)

Surgical Physician Assistant
2900, Corporate Way, Miramar, Broward County, Florida, 33025, United States
NPI: 1023020310