ENRIQUE GONZALEZ-GARCIA – Family Nurse Practitioner, NPI 1629544028

ENRIQUE GONZALEZ-GARCIA is a healthcare provider. based in Atchison, Kansas. specializing in NURSE PRACTITIONER. They hold a License No. 136082 (KS). The NPI Number for ENRIQUE GONZALEZ-GARCIA is 1629544028

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
ENRIQUE GONZALEZ-GARCIA
NPI
1629544028
Phone
(267) 205-6484
Address
1040 KEARNEY ST
Enumeration Date
23 October 2018
Last Update Date
16 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6204292134
Graduation Year
2024 (2 years ago)
PAC ID
1355871450
Group Practice PAC ID
9436583275
Professional Enrollment ID
I20250204003477
Address ID
KS667251021CO101XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

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Provider Addresses for ENRIQUE GONZALEZ-GARCIA

  • 1040, Kearney Street, Atchison, Atchison County, Kansas, 66002, United States

    ATCHISON, KS 660021632

    Phone: (267) 205-6484

    Type: Location

  • 340 N 26TH ST

    KANSAS CITY, KS 661024630

    Phone: (267) 205-6484

    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: 2025-02-04

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
I20250204003477INurse PractitionerKSTBD

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 66002)

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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: 9436583275View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerKS
Nurse PractitionerFL
P O D I A T R YMO
P O D I A T R YTX

Reviews

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Frequently asked questions

What federal number belongs to ENRIQUE GONZALEZ-GARCIA?
The federal identifier for ENRIQUE GONZALEZ-GARCIA is NPI 1629544028.
Does this profile mean ENRIQUE GONZALEZ-GARCIA is currently active?
Yes — ENRIQUE GONZALEZ-GARCIA appears active in the national provider directory.
What kind of provider is ENRIQUE GONZALEZ-GARCIA?
The page reflects Family Nurse Practitioner for ENRIQUE GONZALEZ-GARCIA. Clinical services aligned with this taxonomy classification.
Where is ENRIQUE GONZALEZ-GARCIA's primary listing?
We display Atchison, Kansas because that is what the record indicates for ENRIQUE GONZALEZ-GARCIA.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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