JENNIFER L GONZALEZ (APN) – Adult Health Nurse Practitioner, NPI 1982933974
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,637 NURSE PRACTITIONER in IL
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Provider Addresses for JENNIFER L GONZALEZ (APN)
400, Main Street, Peoria, Peoria County, Illinois, 61602, United States
PEORIA, IL 616062036
Phone: (309) 308-0920
Fax: (309) 308-0930
Type: Mailing
200, East Pennsylvania Avenue, Peoria, Peoria County, Illinois, 61603, United States
PEORIA, IL 616033089
Phone: (309) 655-2045
Fax: (309) 655-2057
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $410.
Total Amount is formed as General ($410) + Research ($0) + Ownership ($0) = $410.
Last reported payment date: 2024-05-23 • Largest payer in this snapshot: Axonics, Inc. ($213).
Total Amount
$410
General + Research + Ownership
Payments
13
Total payment records
General Amount
$410
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $213 |
| Endo USA, Inc. | $125 |
| Sumitomo Pharma America, Inc. | $71 |
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: 2010-09-20
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 |
|---|---|---|---|---|
| I20100920000410 | I | Nurse Practitioner | IL | 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 |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 824 | 574 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 560 | 440 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 556 | 441 | $0 |
| J9030 | Bcg live intravesical instillation, 1 mg | 450 | 14 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 270 | 221 | $0 |
Insurance plans in this area (ZIP 61606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| U R O L O G Y | IL | |
| Nurse Practitioner | IL | |
| U R O L O G Y | IL | |
| U R O L O G Y | IL | |
| Nurse Practitioner | IL | |
| U R O L O G Y | WI | |
| U R O L O G Y | IL | |
| U R O L O G Y | IL | |
| Nurse Practitioner | IL |
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