Amanda Gonzales, FNP-BC in Lake Saint Louis, MO

Amanda Gonzales, FNP-BC is a medicare enrolled "Nurse Practitioner" in Lake Saint Louis, Missouri. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Aging Well Health Care, Llc, Physician Groups Lc and her current practice location is 6261 Ronald Reagan Dr Ste B19, Lake Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 561-3021.

Amanda Gonzales is licensed to practice in Missouri (license number 2018012287) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649777848.

Contact Information

	Amanda Gonzales, FNP-BC
	6261 Ronald Reagan Dr Ste B19, Lake Saint Louis, MO 63367-2665
	(636) 561-3021
	(636) 561-3022

Map and Direction

Provider's Profile

Full Name	Amanda Gonzales
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	6261 Ronald Reagan Dr Ste B19, Lake Saint Louis, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amanda Gonzales graduated from nursing school in 2017

NPI Data:

NPI Number: 1649777848
Provider Enumeration Date: 04/12/2018
Last Update Date: 09/19/2025

Medicare PECOS Information:

PECOS PAC ID: 1951732072
Enrollment ID: I20200505002423

Medical Identifiers

Medical identifiers for Amanda Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649777848	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2018012287 (Missouri)	Secondary
363L00000X	Nurse Practitioner	2018012287 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aging Well Health Care, Llc	1153232038	189
Physician Groups Lc	3072421254	455

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Gonzales allows following entities to bill medicare on her behalf.

Entity Name	Physician Groups Lc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157

Entity Name	Physician Specialists Of St Lukes Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235168410 PECOS PAC ID: 1557366960 Enrollment ID: O20060918000462

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Gonzales is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Amanda Gonzales, FNP-BC 660 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8512 Ph: (314) 448-3791	Amanda Gonzales, FNP-BC 6261 Ronald Reagan Dr Ste B19, Lake Saint Louis, MO 63367-2665 Ph: (636) 561-3021

Reviews and Comments

Nurse Practitioner Nurses in Lake Saint Louis, MO

Mrs. Michelle Lynn Breneman, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Brevco Plz, Ste 101, Lake Saint Louis, MO 63367 Phone: 636-561-5437 Fax: 636-561-5100
Jaclyn Morris, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Medical Plz Ste 310, Lake Saint Louis, MO 63367 Phone: 636-625-2662
Adam Lee Trimpe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6261 Ronald Reagan Dr Ste B19, Lake Saint Louis, MO 63367 Phone: 636-561-3021
Ms. Melanie V Maze, ANP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Medical Plaza, Suite 100, Lake Saint Louis, MO 63367 Phone: 636-639-8600 Fax: 636-639-8676
Lisa A Scott, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6261 Ronald Reagan Dr Ste B19, Lake Saint Louis, MO 63367 Phone: 636-561-3021 Fax: 636-561-3022
Cherie Lanham Kimbrough, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Medical Plaza Dr, Emergency Department, Lake Saint Louis, MO 63367 Phone: 636-625-5300 Fax: 636-625-5376
Spencer John Mares, FNP-C, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Plz, Lake Saint Louis, MO 63367 Phone: 636-625-5200

Amanda Gonzales, FNP-BC - Medicare Nurse Practitioner in Lake Saint Louis, MO