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KAILEN GONZALEZ PA NPI 1255607750


NPI Information

NPI: 1255607750
Provider Name: KAILEN GONZALEZ, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: MILLENNIUM PHYSICIAN GROUP LLC

PECOS Registration: Yes

Address:
4571 COLONIAL BLVD STE 110
FORT MYERS, FL
ZIP 33966
Phone: (786) 218-3593
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Kailen Gonzalez, PA is a medical physician assistant in Fort Myers, FL with 13 years of experience. Kailen Gonzalez, PA NPI is 1255607750. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4571 COLONIAL BLVD STE 110
FORT MYERS, FL
ZIP 33966-156
Phone: (786) 218-3593

The NPI 1255607750 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Automated urinalysis test (HCPCS:81003)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)

The enumeration date for this NPI number is 3/29/2012 and was last updated on 5/27/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantNo
2363AM0700XPhysician AssistantMedical9113094FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
119BS6OTHERSOUTH CAROLINABCBS
29673961OTHERSOUTH CAROLINAAETNA
3956511OTHERSOUTH CAROLINAWELLCARE
4P01074499OTHERSOUTH CAROLINARAILROAD MEDICARE
580025208OTHERSOUTH CAROLINASELECT HEALTH
61434PAMEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.