DARBY NICOLE GONZALES (MD) – Family Medicine Physician, NPI 1114509452

DARBY NICOLE GONZALES (MD) is a healthcare provider. based in Waco, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. BP10074687 (TX). The NPI Number for DARBY NICOLE GONZALES (MD) is 1114509452

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DARBY NICOLE GONZALES (MD)
NPI
1114509452
Phone
(254) 313-4200
Address
1600 PROVIDENCE DR
Enumeration Date
26 April 2021
Last Update Date
26 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2543134200
Graduation Year
2021 (5 years ago)
PAC ID
6800336504
Group Practice PAC ID
1153370242
Professional Enrollment ID
I20240909003529
Address ID
TX767072261WA1600XDRXX300
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

8,705 FAMILY PRACTICE in TX

Provider Addresses for DARBY NICOLE GONZALES (MD)

  • 1600 PROVIDENCE DR

    WACO, TX 767072261

    Phone: (254) 313-4200

    Fax: (254) 313-4549

    Mailing address matches the actual address.

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 $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: Lilly USA, LLC ($70).

Total Amount

$117

General + Research + Ownership

Payments

2

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$70
ATRICURE, INC.$47
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: 2024-09-09

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
I20240909003529IFamily PracticeTXTBD

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 76707)

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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: 1153370242View full group profile
NameSpecialtyState
Nurse PractitionerTX
Family PracticeTX
Nurse PractitionerTX
Certified Nurse Midwife (Cnm)TX
-OK
Family PracticeTX
-TX
Physician AssistantSC
Clinical Social WorkerTX
-TX

Reviews

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Frequently asked questions

How do payers reference DARBY NICOLE GONZALES (MD)?
For DARBY NICOLE GONZALES (MD), use NPI 1114509452 as the unique 10-digit identifier.
Is DARBY NICOLE GONZALES (MD) still an active registrant?
DARBY NICOLE GONZALES (MD) carries an active NPI according to the public dataset.
How would a patient describe DARBY NICOLE GONZALES (MD)'s focus?
For DARBY NICOLE GONZALES (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DARBY NICOLE GONZALES (MD)?
Travel planning: use Waco, Texas as the reference point for DARBY NICOLE GONZALES (MD), then confirm.
When was this NPI issued?
Enumeration for DARBY NICOLE GONZALES (MD) is noted as April 26, 2021 where the registry provides it.

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