Shivanna Subramani Gonzalez, DNP - Medicare Nurse Practitioner in Wolcott, CT

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Shivanna Subramani Gonzalez, DNP is a medicare enrolled "Nurse Practitioner - Family" in Wolcott, Connecticut. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ptsma Inc and her current practice location is 504 Wolcott Rd, Wolcott, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 725-5339.

Shivanna Subramani Gonzalez is licensed to practice in Connecticut (license number 009553) 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 1457758179.

Contact Information

Shivanna Subramani Gonzalez, DNP
504 Wolcott Rd,
Wolcott, CT 06716-2461
(203) 725-5339
Not Available

Map and Direction




Provider's Profile

Full NameShivanna Subramani Gonzalez
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location504 Wolcott Rd, Wolcott, Connecticut
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:
  • Shivanna Subramani Gonzalez graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1457758179
  • Provider Enumeration Date: 11/24/2014
  • Last Update Date: 05/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4486979408
  • Enrollment ID: I20150216001827

Medical Identifiers

Medical identifiers for Shivanna Subramani Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457758179NPI-NPPES
005993OtherCTSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5993 (Connecticut)Secondary
363LP2300XNurse Practitioner - Primary Care 5993 (Connecticut)Secondary
363LF0000XNurse Practitioner - Family 009553 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ptsma Inc7911800180169

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. Shivanna Subramani Gonzalez allows following entities to bill medicare on her behalf.
Entity NamePhysicians For Women's Health, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801826680
PECOS PAC ID: 3274430665
Enrollment ID: O20031215000455
Entity NameWct Behavioral Health & Medication Management Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285391474
PECOS PAC ID: 8820480734
Enrollment ID: O20220126000469
Entity NameTmw Wellness Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700580198
PECOS PAC ID: 7012366180
Enrollment ID: O20231214001556
Entity NameThe Modern Woman Health & Wellness Center Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801599295
PECOS PAC ID: 2264882133
Enrollment ID: O20231219002898

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. Shivanna Subramani 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
Shivanna Subramani Gonzalez, DNP
504 Wolcott Rd Ste C,
Wolcott, CT 06716-2462

Ph: (860) 714-2913		Shivanna Subramani Gonzalez, DNP
504 Wolcott Rd,
Wolcott, CT 06716-2461

Ph: (203) 725-5339

Reviews and Comments


Nurse Practitioner Nurses in Wolcott, CT

Mrs. Angela Holly Berry,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 17 Tyrrell Drive, Wolcott, CT 06716
Phone: 203-704-6193    
Rachel Kathleen Girouard,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 464 Wolcott Rd Ste 3, Wolcott, CT 06716
Phone: 203-879-6171    Fax: 203-879-1191
Ms. Gayle Gwozdz, A.P.R.N.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 464 Wolcott Rd, Wolcott, CT 06716
Phone: 203-623-4560    
Cathy C Lanoie, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 464 Wolcott Rd, Wolcott, CT 06716
Phone: 203-633-4560    Fax: 203-879-3566
Karlene A Hylton, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 464 Wolcott Rd, Gericare, Llc, Wolcott, CT 06716
Phone: 203-633-4560    Fax: 203-926-0594
Roslyn Forde-tucker,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 101 Knollwood Dr, Wolcott, CT 06716
Phone: 203-768-5072    

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.