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

Mrs. Jennifer W Gonzalez, PA

Individual provider Physician Assistant · NPI 1154519239

Mrs. Jennifer W Gonzalez, PA is a Physician Assistant in Beavercreek, Ohio. Graduated from Medical University of South Carolina College of Medicine in 2005, 21 years ago. Practices with Kca, PLLC, a 6-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Ohio.

Years since qualifying
21
Trained at
Medical University of South Carolina College of Medicine
Licensed in
FL, OH
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

725 University Blvd
Beavercreek, OH 45324-2640
Phone: (937) 245-7200
Fax: (937) 245-7999
Show map & directions

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

Additional practice locations (1)

  • 13330 Usf Laurel Dr, Tampa, FL 33612 — (813) 974-2201

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.007105RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence PA9112057 (FL)

Record details

NPI number1154519239
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 14, 2007
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Kca, Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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