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SAMANTHA LAURIE GONZALEZ APNP
NPI 1174485130
Nurse Practitioner - Neonatal in Milwaukee, WI

Active since November 28, 2025PECOS Enrolled
8915 W CONNELL AVE, MILWAUKEE, WI 53226(414) 266-2000 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 31, 2025, Nov 28, 2025 (2 updates tracked since 2025).

About Samantha Laurie Gonzalez Apnp NPPES

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

SAMANTHA LAURIE GONZALEZ APNP (NPI 1174485130) is an individual neonatal provider in Milwaukee, Wisconsin, licensed in Wisconsin (17769-033) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1174485130
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameSAMANTHA LAURIE GONZALEZCredential: APNP
Location Address8915 W CONNELL AVEMilwaukee, WI 53226-3067
Mailing Address6215 Walnut Ln Unit 38Cudahy, WI 53110-3459
Phone(414) 266-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 28, 2025
Last NPPES UpdateDecember 31, 20252 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
✔ NPI 1174485130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in WI · 17769-033
8915 W CONNELL AVE, Milwaukee, WI 53226
Open in Google Maps ↗

Other Identifiers 1

Medicaid1174485130WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Laurie Gonzalez Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820570153
PECOS Enrollment IDI20260305000711
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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Gonzalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Medical College Of Wisconsin, Inc.
0.1 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

DEMI ELISABETH HAGEN PA-C
Physician Assistant
8915 W CONNELL AVE
WAUWATOSA, WI 53226
Milwaukee County (414) 266-2626
DR. ANNA ELIZABETH DZIAMSKI MD
Anesthesiology
8915 W CONNELL AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2000
DR. KELSEY ANN FREY MD
Pediatrics
8915 W CONNELL AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2000
ELIZABETH ANNE RODRIGUEZ
Nurse Practitioner (Neonatal, Critical Care)
8915 W CONNELL AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2000
KEERTHANA PITTALA DO
Student in an Organized Health Care Education/Training Program
8915 W CONNELL AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2000
ANNA ERICKSON PHARMD
Pharmacist
8915 W CONNELL AVE
MILWAUKEE, WI 53226
Milwaukee County (952) 913-9150
HALLI KOENIG
Registered Nurse
8915 W CONNELL AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2000
DARSH KURANI DO
Student in an Organized Health Care Education/Training Program
8915 W CONNELL AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 267-2833

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 Samantha Gonzalez's NPI number?

The NPI number for Samantha Gonzalez is 1174485130. It was assigned to this individual provider in the NPPES registry on November 28, 2025.

Where is Samantha Gonzalez located?

Samantha Gonzalez practices at 8915 W Connell Ave, Milwaukee, WI 53226. The listed phone number is (414) 266-2000.

What is Samantha Gonzalez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Samantha Gonzalez enrolled in Medicare?

Yes. Samantha Gonzalez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Gonzalez reassigns Medicare benefits to The Medical College Of Wisconsin, Inc. (Milwaukee, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Gonzalez accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health list Samantha 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 Samantha Gonzalez was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.