MRS. MELISSA GONZALEZ – Acute Care Nurse Practitioner, NPI 1770019523

MRS. MELISSA GONZALEZ is a healthcare provider. based in Glen allen, Virginia. specializing in NURSE PRACTITIONER. They hold a License No. 0024174956 (VA). The NPI Number for MRS. MELISSA GONZALEZ is 1770019523

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MELISSA GONZALEZ
NPI
1770019523
Phone
(804) 229-9747
Address
1405 PENNSYLVANIA AVE
Enumeration Date
11 May 2017
Last Update Date
29 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3477617200
Graduation Year
2017 (9 years ago)
PAC ID
9133492309
Group Practice PAC ID
4082869250
Professional Enrollment ID
I20170911000780
Address ID
VA201488069AS41816CIRX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for MRS. MELISSA GONZALEZ

  • 1405, Pennsylvania Avenue, Glen Allen, Henrico County, Virginia, 23060, United States

    GLEN ALLEN, VA 230603825

    Phone: (804) 229-9747

    Type: Mailing

  • 1011 JOHNSTON WILLIS DR STE 100

    NORTH CHESTERFIELD, VA 232354808

    Phone: (804) 330-4990

    Fax: (804) 330-4529

    Type: Location

  • 7101 Jahnke Rd

    Richmond, VA 232254017

    Phone: (804) 483-0000

    Type: Location

  • 7101, Jahnke Road, Westover Gardens, Richmond, Richmond City, Virginia, 23225, United States

    RICHMOND, VA 232254017

    Phone: (804) 483-0000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-02-28 • Largest payer in this snapshot: Medline Industries LP ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medline Industries LP$21
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: 2017-09-11

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
I20170911000780INurse PractitionerVATBD

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 23060)

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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: 4082869250View full group profile
NameSpecialtyState
Nurse PractitionerVA
Nurse PractitionerDC
Nurse PractitionerVA
Nurse PractitionerTX
Nurse PractitionerVA
Internal Medicine, Geriatric MedicineNY
Internal Medicine, Osteopathic Manipulative MedicineVA
-MN
Nurse PractitionerVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

How is MRS. MELISSA GONZALEZ identified in CMS data?
CMS-hosted NPPES data lists MRS. MELISSA GONZALEZ with NPI 1770019523.
Does CMS list MRS. MELISSA GONZALEZ as active?
Yes — MRS. MELISSA GONZALEZ is active in the NPI listing used on this page.
What is MRS. MELISSA GONZALEZ's specialty?
The listing groups MRS. MELISSA GONZALEZ with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MRS. MELISSA GONZALEZ serve?
MRS. MELISSA GONZALEZ's listing highlights Glen Allen, Virginia; more addresses can appear in NPPES.
Is the information about MRS. MELISSA GONZALEZ up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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