KRISTIN LEE GONZALEZ (DNP) – Family Nurse Practitioner, NPI 1700357324
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
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Provider Addresses for KRISTIN LEE GONZALEZ (DNP)
PO BOX 3162
SALT LAKE CITY, UT 841103162
Phone: (904) 202-1032
Fax: (904) 376-4107
Type: Mailing
118, 13th Avenue South, Pablo Beach South, Jacksonville Beach, Duval County, Florida, 32250, United States
JACKSONVILLE BEACH, FL 322503203
Phone: (904) 202-4600
Fax: (904) 202-4638
Type: Location
3563 PHILIPS HWY
BLDG. B SUITE 201A
JACKSONVILLE BEACH, FL 32207
Phone: (904) 202-2557
Fax: (904) 393-2958
Type: Location
PO BOX 746636
ATLANTA, GA 303746636
Phone: (904) 202-2092
Fax: (904) 376-4075
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $303.
Total Amount is formed as General ($303) + Research ($0) + Ownership ($0) = $303.
Last reported payment date: 2024-04-25 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($167).
Total Amount
$303
General + Research + Ownership
Payments
6
Total payment records
General Amount
$303
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $167 |
| Eisai Inc. | $123 |
| Exact Sciences Corporation | $14 |
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: 2019-06-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190603000832 | I | Nurse Practitioner | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 290 | 96 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 77 | 77 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 51 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 29 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 28 | 27 | $0 |
Insurance plans in this area (ZIP 84110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Geriatric Medicine, Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | GA | |
| Internal Medicine, Geriatric Medicine | FL | |
| Nurse Practitioner | GA | |
| Hospitalist, Internal Medicine | FL | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | UT | |
| Physician Assistant | FL | |
| Hospitalist, Internal Medicine | UT |
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