JEFFREY MICHAEL GONZALES (FNP C) – Nurse Practitioner, NPI 1578506390
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
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Provider Addresses for JEFFREY MICHAEL GONZALES (FNP C)
505, South 336th Street, Federal Way, King County, Washington, 98003, United States
SUITE 600
FEDERAL WAY, WA 980036328
Phone: (253) 838-6180
Fax: (253) 838-6418
Type: Mailing
Saint Charles Medical Center Redmond, 1253, Northwest Canal Boulevard, Redmond, Deschutes County, Oregon, 97756, United States
REDMOND, OR 977561334
Phone: (541) 548-8131
Fax: (541) 526-6608
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: 2016-09-16
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 |
|---|---|---|---|---|
| I20160916001244 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,259 | 165 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 317 | 229 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 299 | 120 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 285 | 200 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 226 | 173 | $0 |
Insurance plans in this area (ZIP 98003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Family Practice, General Practice, Osteopathic Manipulative Medicine | TX | |
| Hospitalist, Internal Medicine | TX |
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