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

Autumn Marie Gonzales

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073275756

Autumn Marie Gonzales is a Physician Assistant in Los Alamos, New Mexico. Qualified in 2023, 3 years ago. Practices with Medical Associates of Northern New Mexico, a 14-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
3
Licensed in
NM
In the registry since
2021
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Los Alamos, NM

Additional practice locations (1)

  • 1500 N Renaissance Blvd Ne Ste C, Albuquerque, NM 87107-7002 — (505) 266-5565

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA2023-0240 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073275756
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 9, 2021
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Medical Associates Of Northern New Mexico — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Los Alamos