MS. JUDITH ANN GONZALES (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1164725339

MS. JUDITH ANN GONZALES (PMHNP-BC) is a healthcare provider. based in Des moines, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. G079336 (IA). The NPI Number for MS. JUDITH ANN GONZALES (PMHNP-BC) is 1164725339

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
MS. JUDITH ANN GONZALES (PMHNP-BC)
NPI
1164725339
Phone
(515) 237-3974
Address
2213 GRAND AVE
Enumeration Date
9 December 2010
Last Update Date
9 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5152292318
Graduation Year
2010 (16 years ago)
PAC ID
8325226517
Group Practice PAC ID
1557867207
Professional Enrollment ID
I20110616000384
Address ID
IA501312806JO8460XCTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:15State licenses:2Digital endpointsOther names

3,532 NURSE PRACTITIONER in IA

Provider Addresses for MS. JUDITH ANN GONZALES (PMHNP-BC)

  • 2213 GRAND AVE

    DES MOINES, IA 503125305

    Phone: (515) 237-3974

    Fax: (515) 883-2692

    Type: Mailing

  • 8460 BIRCHWOOD COURT SUITE 700

    JOHNSTON, IA 50131

    Phone: (515) 229-2318

    Fax: (515) 214-1946

    Type: Location

  • 1001 OFFICE PARK RD

    SUITE 113

    WEST DES MOINES, IA 502652587

    Phone: (515) 277-7370

    Fax: (515) 277-0102

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 309 Open Payments records for all available years, with a total value of $6,302.

Total Amount is formed as General ($6,302) + Research ($0) + Ownership ($0) = $6,302.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($950).

Total Amount

$6,302

General + Research + Ownership

Payments

309

Total payment records

General Amount

$6,302

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2011-06-16

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
I20110616000384INurse PractitionerIATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9433$0
90833Psychotherapy with evaluation and management visit, 30 minutes6032$0
99215Established patient office or other outpatient visit, 40-54 minutes3114$0
View full utilization report →

Insurance plans in this area (ZIP 50312)

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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: 1557867207View full group profile
NameSpecialtyState
Physician AssistantIA
Physician AssistantIA
Physician AssistantIA

Reviews

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Frequently asked questions

What number should I use to identify MS. JUDITH ANN GONZALES (PMHNP-BC) for billing?
Administrative and clinical systems typically use NPI 1164725339 for MS. JUDITH ANN GONZALES (PMHNP-BC).
Is MS. JUDITH ANN GONZALES (PMHNP-BC)'s NPI status active today?
Active status means MS. JUDITH ANN GONZALES (PMHNP-BC)'s NPI record is not deactivated in the public file.
What type of care does MS. JUDITH ANN GONZALES (PMHNP-BC) provide?
MS. JUDITH ANN GONZALES (PMHNP-BC)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. JUDITH ANN GONZALES (PMHNP-BC)?
MS. JUDITH ANN GONZALES (PMHNP-BC) shows a connection to Des Moines, Iowa in registry-derived data.
Who maintains MS. JUDITH ANN GONZALES (PMHNP-BC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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