JENNIFER GONZALEZ (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1376939926

JENNIFER GONZALEZ (NP) is a healthcare provider. based in Clarkston, Michigan. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 4704259119 (MI). The NPI Number for JENNIFER GONZALEZ (NP) is 1376939926

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER GONZALEZ (NP)
NPI
1376939926
Phone
(248) 620-6400
Address
6549 TOWN CENTER DR STE A
Enumeration Date
10 April 2015
Last Update Date
1 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5178823732
Graduation Year
2017 (9 years ago)
PAC ID
6103181771
Group Practice PAC ID
1254513807
Professional Enrollment ID
I20180531002201
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for JENNIFER GONZALEZ (NP)

  • 6549 TOWN CENTER DR STE A

    CLARKSTON, MI 483464824

    Phone: (248) 620-6400

    Type: Mailing

  • 2300 JOLLY OAK RD

    OKEMOS, MI 488643546

    Phone: (517) 679-2050

    Type: Location

  • 702 W LAKE LANSING RD

    EAST LANSING, MI 488238526

    Phone: (517) 332-5342

    Fax: (517) 316-2893

    Type: Location

  • 2370 BROOKMEAD WAY

    CHARLOTTE, MI 488138717

    Phone: (269) 762-3128

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $651.

Total Amount is formed as General ($651) + Research ($0) + Ownership ($0) = $651.

Last reported payment date: 2024-05-01 • Largest payer in this snapshot: Alkermes, Inc. ($100).

Total Amount

$651

General + Research + Ownership

Payments

34

Total payment records

General Amount

$651

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-01

Latest reported date

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: 2018-05-31

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
I20180531002201INurse PractitionerMITBD

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 48346)

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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: 1254513807View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm JENNIFER GONZALEZ (NP)'s NPI?
Yes. JENNIFER GONZALEZ (NP) is listed with NPI 1376939926 in the public NPI dataset.
Does the file indicate JENNIFER GONZALEZ (NP) is practicing under active NPI?
Directory data currently reports JENNIFER GONZALEZ (NP) as active.
What is JENNIFER GONZALEZ (NP)'s specialty?
The listing groups JENNIFER GONZALEZ (NP) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does JENNIFER GONZALEZ (NP) serve?
JENNIFER GONZALEZ (NP)'s listing highlights Clarkston, Michigan; more addresses can appear in NPPES.
Is the information about JENNIFER GONZALEZ (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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