Kristen Gonzalez, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Newton, Massachusetts. Her current practice location is
233 Needham St, Newton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 830-4522.
Kristen Gonzalez is licensed to practice in Massachusetts (license number RN2364004) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366982902.
Healthcare Provider's Profile
Full Name | Kristen Gonzalez |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 233 Needham St, Newton, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366982902
- Provider Enumeration Date: 03/01/2017
- Last Update Date: 02/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 6901252808
- Enrollment ID: I20231030001392
Medical Identifiers
Medical identifiers for Kristen Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366982902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2364004 (Massachusetts) | 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. Kristen Gonzalez allows following entities to bill medicare on her behalf.
Entity Name | Northeast Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643 |
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Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20110725000191 |
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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. Kristen 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 Address | Practice Location Address |
Kristen Gonzalez, 233 Needham St Ste 300, Newton, MA 02464-1502 Ph: () - | Kristen Gonzalez, 233 Needham St, Newton, MA 02464-1573 Ph: (617) 830-4522 |
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