Esmeralda Gonzales, ARNP
NPI 1174061436ActiveIndividual· Nurse Practitioner, Adult Health· Lakeland, FL
Nurse Practitioner, Adult Health (ARNP) with Lakeland Regional Health Systems Inc and 1 other group, practicing in Lakeland, Florida. Their prescriptions cost Medicare Part D more than their services did: $1,088,976 for 8,199 claims, against $153.38 paid for services in 2024. Dexcom, Inc. was the largest of 8 companies reporting payments in 2025, $325.91 in all, mostly food and beverage. Lists Adventhealth Sebring and 1 other hospital as hospital affiliations.
Overview
| NPI | 1174061436 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | No |
| NPI issued | Feb 7, 2017 |
| Last updated in NPPES | Jan 6, 2026 |
| Certified by provider | Jan 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | ARNP3064972 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 26 across 10 procedure codes |
| Paid by Medicare | $153.38 |
Part D prescriptions in 2024
| Prescriptions (claims) | 8,199 · 17,050 30-day fills |
|---|---|
| Patients | 512 |
| Total drug cost | $1,088,976 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Lakeland Regional Health Systems IncLakeland, FL · 536 clinicians
- Central Florida Health Care IncDavenport, FL · 31 clinicians
Hospital affiliations
- Adventhealth SebringSebring, FL
- Lakeland Regional Medical CenterLakeland, FL
Industry payments (Open Payments)
- 2025$325.91 · 16 payments from 8 companies
- 2024$241.56 · 14 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Dexcom, Inc. | $76.63 | 3 |
| Averitas Pharma Inc. | $49.45 | 2 |
| Astrazeneca Pharmaceuticals LP | $48.51 | 3 |
| Merck Sharp & Dohme LLC | $42.76 | 2 |
| Lilly USA, LLC | $36.31 | 2 |
What the 2025 payments were for
- Food and Beverage$325.91 · 16 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other adult health nurse practitioners in Lakeland
- 1023601952
- 1093224206
- 1124576368
- 1144789785
- 1144821059
- 1164915880
- 1194165100
- 1235557851
- 1245536770
- 1275053662
- 1306069968
- 1306435151
All 63 adult health nurse practitioners in Lakeland · All adult health nurse practitioners in Florida