Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Gonzales, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1649777848

Amanda Gonzales, FNP-BC is a Nurse Practitioner in Lake Saint Louis, Missouri. Qualified in 2017, 9 years ago. Practices with Physician Groups Lc, a 524-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
9
Licensed in
MO
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

6261 Ronald Reagan Dr Ste B19
Lake Saint Louis, MO 63367-2665
Phone: (636) 561-3021
Fax: (636) 561-3022
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2018012287 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2018012287 (MO)

Record details

NPI number1649777848
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedApril 12, 2018
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Lake Saint Louis