MS. SANDRA LEE BROMMELAND GONZALEZ APRN-BC
NPI 1053428342
Nurse Practitioner - Psychiatric/Mental Health in Thibodaux, LA

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
1101 AUDUBON AVE, THIBODAUX, LA 70301(985) 857-3615(941) 295-7336 Get Directions Write a Review

NPPES record last updated: January 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Sandra Lee Brommeland Gonzalez Aprn-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SANDRA LEE BROMMELAND GONZALEZ APRN-BC (NPI 1053428342) is an individual psychiatric/mental health provider in Thibodaux, Louisiana, licensed in Louisiana (AP 5139) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1053428342
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. SANDRA LEE BROMMELAND GONZALEZCredential: APRN-BC
Location Address1101 AUDUBON AVEThibodaux, LA 70301-4957
Mailing Address929 Bayou Dularge RdHouma, LA 70363-7614 · (985) 872-3550 · Fax (941) 295-7336
Fax(941) 295-7336
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 24, 2006
Last NPPES UpdateJanuary 27, 2015
NPI 1053428342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in LA · AP 5139
1101 AUDUBON AVE, Thibodaux, LA 70301

Other Identifiers 1

Medicaid1022004LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Sandra Lee Brommeland Gonzalez Aprn-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971602673
PECOS Enrollment IDI20070621000026
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Wound Care)
1101 AUDUBON AVE, STE S-4
THIBODAUX, LA 70301
Nurse Practitioner (Psychiatric/Mental Health)
1101 AUDUBON AVE
THIBODAUX, LA 70301
1101 AUDUBON AVE, STE S-4
THIBODAUX, LA 70301
Clinic/Center (Adult Mental Health)
1101 AUDUBON AVE
THIBODAUX, LA 70301
Registered Nurse (Wound Care)
1101 AUDUBON AVE, STE S-4
THIBODAUX, LA 70301
Registered Nurse
1101 AUDUBON AVE, SUITE S4
THIBODAUX, LA 70301
Nurse Anesthetist, Certified Registered
1101 AUDUBON AVE, SUITE S4
THIBODAUX, LA 70301
Nurse Anesthetist, Certified Registered
1101 AUDUBON AVE, SUITE S4
THIBODAUX, LA 70301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Brommeland Gonzalez's NPI number?

The NPI number for Sandra Brommeland Gonzalez is 1053428342. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Sandra Brommeland Gonzalez located?

Sandra Brommeland Gonzalez practices at 1101 Audubon Ave, Thibodaux, LA 70301. The listed phone number is (985) 857-3615.

What is Sandra Brommeland Gonzalez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sandra Brommeland Gonzalez enrolled in Medicare?

Yes. Sandra Brommeland Gonzalez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sandra Brommeland Gonzalez accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Sandra Brommeland Gonzalez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sandra Brommeland Gonzalez was last updated on January 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.