KRISTI GONZALES (PA-C) – Physician Assistant, NPI 1659772242

KRISTI GONZALES (PA-C) is a healthcare provider. based in Rochelle, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for KRISTI GONZALES (PA-C) is 1659772242

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KRISTI GONZALES (PA-C)
NPI
1659772242
Phone
(815) 501-1881
Address
215 S 11TH ST
Enumeration Date
15 September 2014
Last Update Date
19 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8155622181
Graduation Year
2011 (15 years ago)
PAC ID
6002138435
Group Practice PAC ID
4789581828
Professional Enrollment ID
I20141213000062
Address ID
IL610681764RO900XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:11State licenses:0Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for KRISTI GONZALES (PA-C)

  • 215 S 11TH ST

    ROCHELLE, IL 610681930

    Phone: (815) 501-1881

    Type: Mailing

  • 1401 E 12TH ST

    MENDOTA, IL 613429216

    Phone: (815) 538-7200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-12-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (890 days ago).

Enrollment records

1

Earliest due date

2023-12-31

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
I20141213000062IPhysician AssistantIL2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 61068)

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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: 4789581828View full group profile
NameSpecialtyState
Family PracticeIL
Emergency MedicineIL
Emergency MedicineMN
Family PracticeIL
Internal Medicine, Hospitalist, Internal MedicineIL
Nurse PractitionerCA
Nurse PractitionerIL
Emergency MedicineIL
Family PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is the registry number for KRISTI GONZALES (PA-C)?
The registry entry for KRISTI GONZALES (PA-C) shows NPI 1659772242.
Quick check: is KRISTI GONZALES (PA-C) active?
Public NPPES data shows KRISTI GONZALES (PA-C) with an active NPI status right now.
What services align with KRISTI GONZALES (PA-C)'s listing?
KRISTI GONZALES (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit KRISTI GONZALES (PA-C) in Rochelle, Illinois?
For routing, start with Rochelle, Illinois for KRISTI GONZALES (PA-C), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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