Taris Gonzalez, NP - Medicare Nurse Practitioner in Pendleton, IN

Taris Gonzalez, NP is a medicare enrolled "Nurse Practitioner" in Pendleton, Indiana. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 8391 S Shady Trail Dr, Pendleton, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 507-2395.

Taris Gonzalez is licensed to practice in Indiana (license number 71001601A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821290743.

Contact Information

Taris Gonzalez, NP
8391 S Shady Trail Dr,
Pendleton, IN 46064-8652
(317) 507-2395
Not Available

Map and Direction




Provider's Profile

Full NameTaris Gonzalez
GenderFemale
SpecialityNurse Practitioner
Experience21 Years
Location8391 S Shady Trail Dr, Pendleton, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Taris Gonzalez graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1821290743
  • Provider Enumeration Date: 06/04/2007
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1153595491
  • Enrollment ID: I20111122000526

Medical Identifiers

Medical identifiers for Taris Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821290743NPI-NPPES
P01170026OtherINRR MEDICARE PTAN
200460280MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 71001601 (Indiana)Secondary
363L00000XNurse Practitioner 71001601A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Taris Gonzalez allows following entities to bill medicare on her behalf.
Entity NameGsg Pride Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437622701
PECOS PAC ID: 7113267022
Enrollment ID: O20190312002841

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Taris Gonzalez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Taris Gonzalez, NP
8391 S Shady Trail Dr,
Pendleton, IN 46064-8652

Ph: (317) 743-0009
Taris Gonzalez, NP
8391 S Shady Trail Dr,
Pendleton, IN 46064-8652

Ph: (317) 507-2395

Reviews and Comments


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Phone: 765-778-0000    
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Phone: 765-602-1429    
Mrs. Julienne Elaine Leyva, ANP
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Practice Location: 921 W Barouche, Pendleton, IN 46064
Phone: 765-221-9106    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.