MRS. BRENDA L GONZALEZ (FNP-BC) – Family Nurse Practitioner, NPI 1417562729

MRS. BRENDA L GONZALEZ (FNP-BC) is a healthcare provider. based in Worcester, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. RN2328089 (MA). The NPI Number for MRS. BRENDA L GONZALEZ (FNP-BC) is 1417562729

Main info

Female
Sole Proprietor
6 Years Of Experience
Name
MRS. BRENDA L GONZALEZ (FNP-BC)
NPI
1417562729
Phone
(508) 926-8029
Address
210 LINCOLN ST STE 301
Enumeration Date
14 September 2020
Last Update Date
11 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5089435132
Graduation Year
2020 (6 years ago)
PAC ID
0749696425
Group Practice PAC ID
4284539891
Professional Enrollment ID
I20210303002551
Address ID
MA015701509WE340XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for MRS. BRENDA L GONZALEZ (FNP-BC)

  • 210 LINCOLN ST STE 301

    WORCESTER, MA 016052529

    Phone: (508) 926-8029

    Fax: (508) 213-9017

    Type: Mailing

  • 6 BOYDEN STREET EXT

    WEBSTER, MA 015702813

    Phone:

    Type: Mailing

  • 290 MERRIMACK ST

    LAWRENCE, MA 018431782

    Phone: (508) 826-9408

    Type: Location

  • 210 Lincoln St Ste 301

    Worcester, MA 016052529

    Phone: (508) 926-8029

    Fax: (508) 213-9017

    Type: Location

  • 26 QUEEN ST

    WORCESTER, MA 016102473

    Phone: (508) 757-5350

    Fax: (508) 755-6832

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: ABBVIE INC. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$27
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: 2021-03-03

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
I20210303002551INurse 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 01605)

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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: 4284539891View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MA
-MA
-MA
Family PracticeMA
Physician AssistantMA
Pulmonary Disease, Critical Care (Intensivists), Allergy/ImmunologyMA
-MA
-MA
Internal MedicineMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. BRENDA L GONZALEZ (FNP-BC)?
MRS. BRENDA L GONZALEZ (FNP-BC) — NPI 1417562729 — is the standard way to identify this listing.
Does the file indicate MRS. BRENDA L GONZALEZ (FNP-BC) is practicing under active NPI?
Directory data currently reports MRS. BRENDA L GONZALEZ (FNP-BC) as active.
What is MRS. BRENDA L GONZALEZ (FNP-BC)'s primary classification?
Family Nurse Practitioner is the headline specialty for MRS. BRENDA L GONZALEZ (FNP-BC) here. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. BRENDA L GONZALEZ (FNP-BC)?
MRS. BRENDA L GONZALEZ (FNP-BC)'s geographic hint is Worcester, Massachusetts in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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