JOE GONZALES (ARNP) – Family Nurse Practitioner, NPI 1336790070
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
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Provider Addresses for JOE GONZALES (ARNP)
6938, 191st Avenue Southwest, Rochester, Thurston County, Washington, 98579, United States
ROCHESTER, WA 985799240
Phone: (360) 970-3931
Type: Mailing
1641, Kresky Avenue, Centralia, Lewis County, Washington, 98531, United States
CENTRALIA, WA 985318912
Phone: (360) 669-6009
Type: Location
PO BOX 34703
SEATTLE, WA 981241703
Phone:
Type: Mailing
3622 ENSIGN RD NE
OLYMPIA, WA 985065081
Phone: (360) 742-5000
Fax: (360) 742-5019
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: 2023-12-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231212000129 | I | Nurse Practitioner | WA | 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 |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 15 | 15 | $0 |
Insurance plans in this area (ZIP 98579)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WA | |
| - | WA | |
| Family Practice | WA | |
| - | WA | |
| - | WA | |
| - | TN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Physician Assistant | WA | |
| - | WA | |
| Nurse Practitioner | WA |
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