AMANDA LEE GONZALEZ (APRN) – Family Nurse Practitioner, NPI 1700607249

AMANDA LEE GONZALEZ (APRN) is a healthcare provider. based in Laredo, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 1178234 (TX). The NPI Number for AMANDA LEE GONZALEZ (APRN) is 1700607249

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA LEE GONZALEZ (APRN)
NPI
1700607249
Phone
Not provided
Address
5401 SIMBRAH DR
Enumeration Date
17 October 2024
Last Update Date
17 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
28171247222
Graduation Year
2024 (2 years ago)
PAC ID
7517480569
Group Practice PAC ID
3072835651
Professional Enrollment ID
I20250331001731
Address ID
TX780456605LA2438XDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for AMANDA LEE GONZALEZ (APRN)

  • 5401 SIMBRAH DR

    LAREDO, TX 780468929

    Phone:

    Type: Mailing

  • 2438 MONARCH DR

    LAREDO, TX 780456598

    Phone: (956) 523-0966

    Type: Location

  • 2316 S Zapata Hwy Ste 150

    Laredo, TX 780466596

    Phone: (956) 230-7822

    Type: Location

  • 2310 E Saunders St

    Laredo, TX 780415435

    Phone: (956) 750-4898

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-03-31

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
I20250331001731INurse 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 78046)

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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: 3072835651View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Emergency MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How is AMANDA LEE GONZALEZ (APRN) identified in CMS data?
CMS-hosted NPPES data lists AMANDA LEE GONZALEZ (APRN) with NPI 1700607249.
Does the file indicate AMANDA LEE GONZALEZ (APRN) is practicing under active NPI?
Directory data currently reports AMANDA LEE GONZALEZ (APRN) as active.
What is AMANDA LEE GONZALEZ (APRN) best known for clinically?
Directory data describes AMANDA LEE GONZALEZ (APRN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect AMANDA LEE GONZALEZ (APRN) on a map?
Expect Laredo, Texas as a primary anchor for AMANDA LEE GONZALEZ (APRN) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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