AMANDA GONZALES (FNP-BC) – Nurse Practitioner, NPI 1649777848

AMANDA GONZALES (FNP-BC) is a healthcare provider. based in Saint louis, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 2018012287 (MO). The NPI Number for AMANDA GONZALES (FNP-BC) is 1649777848

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA GONZALES (FNP-BC)
NPI
1649777848
Phone
(314) 448-3791
Address
660 MASON RIDGE CENTER DR STE 300
Enumeration Date
12 April 2018
Last Update Date
19 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
1951732072
Group Practice PAC ID
1153232038
Professional Enrollment ID
I20200505002423
Address ID
MO631303001SA7212XAVEX300
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness95
Years active:8State licenses:1Other names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for AMANDA GONZALES (FNP-BC)

  • 660 MASON RIDGE CENTER DR STE 300

    SAINT LOUIS, MO 631418512

    Phone: (314) 448-3791

    Fax: (314) 996-7658

    Type: Mailing

  • 6261 RONALD REAGAN DR STE B19

    LAKE SAINT LOUIS, MO 633672665

    Phone: (636) 561-3021

    Fax: (636) 561-3022

    Type: Location

  • St. Luke's Hospital, 232, South Woods Mill Road, Chesterfield, Saint Louis County, Missouri, 63017, United States

    CHESTERFIELD, MO 630173406

    Phone: (314) 205-6030

    Type: Location

  • 609, Cool Breeze Court, Whisper Creek, Wentzville, Saint Charles County, Missouri, 63385, United States

    WENTZVILLE, MO 633854586

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $261.

Total Amount is formed as General ($261) + Research ($0) + Ownership ($0) = $261.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($72).

Total Amount

$261

General + Research + Ownership

Payments

14

Total payment records

General Amount

$261

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2020-05-05

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
I20200505002423INurse PractitionerMOTBD

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 minutes236170$0
99213Established patient office or other outpatient visit, 20-29 minutes160130$0
99215Established patient office or other outpatient visit, 40-54 minutes2727$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 63141)

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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: 1153232038View full group profile
NameSpecialtyState
Family PracticeMO
Internal Medicine, Sleep MedicineMO
Internal Medicine, Allergy/ImmunologyMO
Internal MedicineMO
Geriatric MedicineMO
Internal MedicineMO
Osteopathic Manipulative MedicineMO
Orthopedic SurgeryMO
Internal Medicine, Pediatric MedicineMO
-MO

Reviews

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Frequently asked questions

What federal number belongs to AMANDA GONZALES (FNP-BC)?
The federal identifier for AMANDA GONZALES (FNP-BC) is NPI 1649777848.
Is AMANDA GONZALES (FNP-BC)'s NPI currently valid?
The extract we use shows AMANDA GONZALES (FNP-BC) as active.
What field does AMANDA GONZALES (FNP-BC) work in?
You can think of AMANDA GONZALES (FNP-BC) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place AMANDA GONZALES (FNP-BC)?
The snapshot lists Saint Louis, Missouri for AMANDA GONZALES (FNP-BC); download NPPES for the complete set.
What if Saint Louis, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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