JOHN LEONARD GONCALO (FNP-C) – Family Nurse Practitioner, NPI 1083283410

JOHN LEONARD GONCALO (FNP-C) is a healthcare provider. based in Fall river, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 2339801 (MA). The NPI Number for JOHN LEONARD GONCALO (FNP-C) is 1083283410

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JOHN LEONARD GONCALO (FNP-C)
NPI
1083283410
Phone
(774) 365-8966
Address
187 SAVOIE ST
Enumeration Date
21 June 2021
Last Update Date
5 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7742256035
Graduation Year
2021 (5 years ago)
PAC ID
5890274906
Group Practice PAC ID
0446776801
Professional Enrollment ID
I20260210000412
Address ID
MA027625019PL6XXXXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for JOHN LEONARD GONCALO (FNP-C)

  • 187 SAVOIE ST

    FALL RIVER, MA 027232633

    Phone: (774) 365-8966

    Type: Mailing

  • 709 WASHINGTON ST

    CANTON, MA 020213037

    Phone: (781) 828-5351

    Type: Location

  • 31 HIMES ST

    NORTH KINGSTOWN, RI 028524717

    Phone: (774) 365-8966

    Type: Mailing

  • 6 WILKENS DR

    PLAINVILLE, MA 027625019

    Phone: (774) 225-6035

    Fax: (833) 428-4981

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2023-03-03 • Largest payer in this snapshot: Exact Sciences Corporation ($23).

Total Amount

$46

General + Research + Ownership

Payments

2

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-03

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: 2026-02-10

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
I20260210000412INurse PractitionerMATBD

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 02723)

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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: 0446776801View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

How is JOHN LEONARD GONCALO (FNP-C) identified in CMS data?
CMS-hosted NPPES data lists JOHN LEONARD GONCALO (FNP-C) with NPI 1083283410.
Can I rely on JOHN LEONARD GONCALO (FNP-C) being an active provider?
As of the registry snapshot, JOHN LEONARD GONCALO (FNP-C) is marked active.
What is JOHN LEONARD GONCALO (FNP-C) best known for clinically?
Directory data describes JOHN LEONARD GONCALO (FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does JOHN LEONARD GONCALO (FNP-C) list a practice location?
Patients near Fall River, Massachusetts may find JOHN LEONARD GONCALO (FNP-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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