DANIELA RAE GONZALEZ – Family Nurse Practitioner, NPI 1053090647

DANIELA RAE GONZALEZ is a healthcare provider. based in Corpus christi, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1128339 (TX). The NPI Number for DANIELA RAE GONZALEZ is 1053090647

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DANIELA RAE GONZALEZ
NPI
1053090647
Phone
(361) 429-0143
Address
1042 DEFORREST ST
Enumeration Date
12 July 2023
Last Update Date
12 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3619945224
Graduation Year
2017 (9 years ago)
PAC ID
8325584253
Group Practice PAC ID
6204245194
Professional Enrollment ID
I20240726002111
Address ID
TX784114838CO5440XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for DANIELA RAE GONZALEZ

  • 1042 DEFORREST ST

    CORPUS CHRISTI, TX 784042739

    Phone: (361) 429-0143

    Type: Mailing

  • 15406 NORTHWEST BLVD STE B

    ROBSTOWN, TX 783805865

    Phone: (361) 232-4187

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $1,249.

Total Amount is formed as General ($1,249) + Research ($0) + Ownership ($0) = $1,249.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Novo Nordisk Inc ($344).

Total Amount

$1,249

General + Research + Ownership

Payments

17

Total payment records

General Amount

$1,249

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2024-07-26

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
I20240726002111INurse PractitionerTXTBD

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 78404)

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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: 6204245194View full group profile
NameSpecialtyState
Internal Medicine, Sports MedicineTX
O T O L A R Y N G O L O G YTX
Nurse PractitionerTX
Orthopedic SurgeryTX
Orthopedic Surgery, Hand SurgeryTX
N E U R O L O G YTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Can I verify DANIELA RAE GONZALEZ with an NPI only?
You can start verification with NPI 1053090647 for DANIELA RAE GONZALEZ, then check state licensing separately.
Can I rely on DANIELA RAE GONZALEZ being an active provider?
As of the registry snapshot, DANIELA RAE GONZALEZ is marked active.
What is DANIELA RAE GONZALEZ's primary classification?
Family Nurse Practitioner is the headline specialty for DANIELA RAE GONZALEZ here. Clinical services aligned with this taxonomy classification.
Where is DANIELA RAE GONZALEZ based?
DANIELA RAE GONZALEZ is tied to Corpus Christi, Texas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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