MARY L GONZALES (CRNA) – Certified Registered Nurse Anesthetist, NPI 1649203290

MARY L GONZALES (CRNA) is a healthcare provider. based in Belleville, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. The NPI Number for MARY L GONZALES (CRNA) is 1649203290

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MARY L GONZALES (CRNA)
NPI
1649203290
Phone
(618) 257-4076
Address
4500 MEMORIAL DRIVE
Enumeration Date
8 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
31468642004220
Graduation Year
1999 (27 years ago)
PAC ID
5092764340
Group Practice PAC ID
5698922581
Professional Enrollment ID
I20140320000259
Address ID
MO631311860SA12990RDXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

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Provider Addresses for MARY L GONZALES (CRNA)

  • Memorial Hospital, 4500, Memorial Drive, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States

    ANESTHESIA DEPT

    BELLEVILLE, IL 62223

    Phone: (618) 257-4076

    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)

CMS reports 7 Open Payments records for all available years, with a total value of $159.

Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Harrow Eye, LLC ($115).

Total Amount

$159

General + Research + Ownership

Payments

7

Total payment records

General Amount

$159

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

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: 2014-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20070208000623ICertified Registered Nurse Anesthetist (Crna)ILTBD
I20140320000259ICertified Registered Nurse Anesthetist (Crna)MOTBD

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
00142Anesthesia for lens surgery266256$0
00103Anesthesia for procedure on eyelid5656$0
00145Anesthesia for retinal surgery3636$0
00140Anesthesia for other procedure on eye2322$0
View full utilization report →

Insurance plans in this area (ZIP 62223)

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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: 5698922581View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
-IL
-MO
Certified Registered Nurse Anesthetist (Crna)CO
-MO
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

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Frequently asked questions

Where can patients find MARY L GONZALES (CRNA)'s NPI?
You can confirm MARY L GONZALES (CRNA) with NPI 1649203290; it appears in the national provider directory.
Is MARY L GONZALES (CRNA) active in the national directory?
MARY L GONZALES (CRNA)'s public NPI profile is in an active state.
What field does MARY L GONZALES (CRNA) work in?
You can think of MARY L GONZALES (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does MARY L GONZALES (CRNA) practice in Illinois?
You will see Belleville, Illinois on file for MARY L GONZALES (CRNA) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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