MICHAEL A GONZALES – Family Nurse Practitioner, NPI 1154053940

MICHAEL A GONZALES is a healthcare provider. based in Andrews, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1073647 (TX). The NPI Number for MICHAEL A GONZALES is 1154053940

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL A GONZALES
NPI
1154053940
Phone
(432) 505-4146
Address
616 N Main Street
Enumeration Date
29 June 2022
Last Update Date
1 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4326404000
Graduation Year
2021 (5 years ago)
PAC ID
0547642324
Group Practice PAC ID
0244397826
Professional Enrollment ID
I20220812000129
Address ID
TX797615001OD500XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MICHAEL A GONZALES

  • 616 N Main Street

    Andrews, TX 797145207

    Phone: (432) 505-4146

    Fax: (833) 450-0805

    Type: Location

  • 6950 Eastridge Rd

    Odessa, TX 797658971

    Phone: (432) 515-4145

    Fax: (833) 941-0862

    Type: Location

  • 3490 E Yukon Rd

    Odessa, TX 797622010

    Phone: (432) 520-4086

    Fax: (833) 972-5449

    Type: Location

  • 6301 Andrews Hwy

    Midland, TX 797062464

    Phone: (432) 505-4147

    Fax: (833) 449-4803

    Type: Location

  • 2609 WASSON RD APT 8

    BIG SPRING, TX 797206418

    Phone: (432) 290-3739

    Type: Mailing

  • 5514 N Big Spring St

    Midland, TX 797052697

    Phone: (432) 316-2441

    Fax: (833) 428-1421

    Type: Location

  • 4705 BRIARWOOD AVE

    MIDLAND, TX 797072639

    Phone: (432) 505-4145

    Fax: (833) 941-0864

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Boston Scientific Corporation ($125).

Total Amount

$125

General + Research + Ownership

Payments

4

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2022-08-12

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
I20220812000129INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg15015$0
99204New patient office or other outpatient visit, 45-59 minutes6565$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg4511$0
96372Injection of drug or substance under skin or into muscle3528$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza3332$0
View full utilization report →

Insurance plans in this area (ZIP 79714)

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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: 0244397826View full group profile
NameSpecialtyState
Emergency MedicinePR
Emergency MedicineMI
Nurse PractitionerTX
Family PracticeNM
Emergency MedicineAZ
Emergency MedicineMI
Emergency MedicineWY
Nurse PractitionerOK
Emergency MedicineAR
Family PracticeTX

Reviews

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Frequently asked questions

How do I look up MICHAEL A GONZALES by NPI?
Use NPI 1154053940 when you need to reference MICHAEL A GONZALES in forms, claims, or directories.
Is MICHAEL A GONZALES active in the national directory?
MICHAEL A GONZALES's public NPI profile is in an active state.
What does MICHAEL A GONZALES treat or focus on?
Patients typically see MICHAEL A GONZALES under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MICHAEL A GONZALES?
The page summarizes Andrews, Texas for MICHAEL A GONZALES; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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