Amanda Gonzales, FNP-BC - Medicare Nurse Practitioner 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 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Physician Specialists Of St Lukes Llc 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 NameAmanda Gonzales
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location6261 Ronald Reagan Dr Ste B19, Lake Saint Louis, Missouri
Accepts Medicare AssignmentsYes. 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: 08/23/2024
  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.
IdentifierTypeStateIssuer
1649777848NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2018012287 (Missouri)Secondary
363L00000XNurse Practitioner 2018012287 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Lukes HospitalChesterfield, MOHospital
Barnes-jewish West County HospitalCreve coeur, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physician Specialists Of St Lukes Llc155736696078

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 NamePhysician Groups Lc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285664268
PECOS PAC ID: 3072421254
Enrollment ID: O20040220001157
Entity NamePhysician Specialists Of St Lukes Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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
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Practice Location: 100 Brevco Plz, Ste 101, Lake Saint Louis, MO 63367
Phone: 636-561-5437    Fax: 636-561-5100
Jaclyn Morris, CPNP-PC
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Practice Location: 300 Medical Plz Ste 310, Lake Saint Louis, MO 63367
Phone: 636-625-2662    
Adam Lee Trimpe, FNP-C
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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
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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
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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: Medicare Enrolled
Practice Location: 100 Medical Plz, Lake Saint Louis, MO 63367
Phone: 636-625-5200    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.