Clifford Fontanilla Gonzales, CRNA
NPI 1558458042ActiveIndividual· Nurse Anesthetist, Certified Registered· Winston Salem, NC
Nurse Anesthetist, Certified Registered (CRNA) with Forsyth Memorial Hospital Inc and 2 other groups, practicing in Winston Salem, North Carolina. Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna). Lists Novant Health Forsyth Medical Center as a hospital affiliation.
Overview
| NPI | 1558458042 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | Yes |
| NPI issued | Oct 6, 2006 |
| Last updated in NPPES | Jun 19, 2025 |
| Certified by provider | Jun 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 2163 | NC |
| Nurse Anesthetist, Certified Registered | 367500000X | 136101 | NC |
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 - Certified Registered Nurse Anesthetist (CRNA) (NC) |
|---|
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Forsyth Memorial Hospital IncWinston Salem, NC · 620 clinicians
- Medical Park Hospital LLCWinston Salem, NC · 103 clinicians
- Gate City Anesthesia, IncGreensboro, NC · 29 clinicians
Hospital affiliation
- Novant Health Forsyth Medical CenterWinston-Salem, NC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 373 nurse anesthetists in Winston Salem · All nurse anesthetists in North Carolina