Kimberly Rogers Gonzales, ACNP in Hattiesburg, MS

Kimberly Rogers Gonzales, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Hattiesburg, Mississippi. She graduated from nursing school in 2010 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hattiesburg Clinic Pa and her current practice location is 415 S 28th Ave, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 288-4329.

Kimberly Rogers Gonzales is licensed to practice in Mississippi (license number R813989) 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 1275824088.

Contact Information

	Kimberly Rogers Gonzales, ACNP
	415 S 28th Ave, Hattiesburg, MS 39401-7246
	(601) 288-4329
	(601) 579-5240

Map and Direction

Provider's Profile

Full Name	Kimberly Rogers Gonzales
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	415 S 28th Ave, Hattiesburg, Mississippi
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:

Kimberly Rogers Gonzales graduated from nursing school in 2010

NPI Data:

NPI Number: 1275824088
Provider Enumeration Date: 04/27/2011
Last Update Date: 03/25/2021

Medicare PECOS Information:

PECOS PAC ID: 3577740885
Enrollment ID: I20110613000752

Medical Identifiers

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

Identifier	Type	State	Issuer
1275824088	NPI	-	NPPES
07805026	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	R813989 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Forrest General Hospital	Hattiesburg, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hattiesburg Clinic Pa	5193706794	492

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. Kimberly Rogers Gonzales allows following entities to bill medicare on her behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

Entity Name	Relias Emergency Medicine Specialists Of Hattiesburg Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609409440 PECOS PAC ID: 9032549142 Enrollment ID: O20200413002970

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. Kimberly Rogers 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
Kimberly Rogers Gonzales, ACNP 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 288-4329	Kimberly Rogers Gonzales, ACNP 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 288-4329

Reviews and Comments

Nurse Practitioner Nurses in Hattiesburg, MS

Mrs. Merrick Greene Jackson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3688 Veterans Memorial Dr Ste 200, Hattiesburg, MS 39401 Phone: 601-554-7400
Mrs. Lisa Deloris Slade, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Stadium Dr, Hattiesburg, MS 39401 Phone: 601-450-0310 Fax: 601-450-0321
Sarah Alyssa Smith, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-268-8000
Lyndell Sue Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000
Ms. Laura Claire Singley, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-4500
Kisha L Knight, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Lillie Burney St, Hattiesburg, MS 39401 Phone: 601-450-6500 Fax: 601-450-6503
Melissa Ruth Tolar, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-1212

Kimberly Rogers Gonzales, ACNP - Medicare Nurse Practitioner in Hattiesburg, MS