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ERIN K GONZALEZ APNP
NPI 1205225125
Nurse Practitioner in Glendale, WI

Active since January 15, 2015PECOS Enrolled
77.43/100
CMS Quality Rating
4425 N PORT WASHINGTON RD, GLENDALE, WI 53212(414) 326-2218(414) 326-2208 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 21, 2025, Dec 16, 2024, May 17, 2023 and 1 more (4 updates tracked since 2023).

About Erin K Gonzalez Apnp NPPES

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

ERIN K GONZALEZ APNP (NPI 1205225125) is an individual nurse practitioner in Glendale, Wisconsin, licensed in Wisconsin (6051-33) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205225125
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameERIN K GONZALEZCredential: APNP
Location Address4425 N PORT WASHINGTON RDGlendale, WI 53212-1082
Mailing Address4425 N Port Washington RdGlendale, WI 53212-1082 · (414) 326-2218 · Fax (414) 326-2208
Phone(414) 326-2218
Fax(414) 326-2208
Sole ProprietorNo
Enumeration DateJanuary 15, 2015
Last NPPES UpdateFebruary 21, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
✔ NPI 1205225125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 6051-33
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 6051-33 (WI)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 6051-33 (WI)
4425 N PORT WASHINGTON RD, Glendale, WI 53212
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
129 services47 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
20 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services16 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53212 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

Other Providers at the Same Location NPPES 3

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

LYNELLE M OCHOWICZ DDS
Dentist
4425 N PORT WASHINGTON RD, STE 103
MILWAUKEE, WI 53212
Milwaukee County (414) 961-2121
DR. EDUARDO ENRIQUE DELGADO MD
Pediatrics
4425 N PORT WASHINGTON RD
GLENDALE, WI 53212
Milwaukee County (414) 326-2218
MARY RUDOLPH THOMAS PT
Physical Therapist
4425 N PORT WASHINGTON RD
GLENDALE, WI 53212
Milwaukee County (414) 961-3598

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 Erin Gonzalez's NPI number?

The NPI number for Erin Gonzalez is 1205225125. It was assigned to this individual provider in the NPPES registry on January 15, 2015.

Where is Erin Gonzalez located?

Erin Gonzalez practices at 4425 N Port Washington Rd, Glendale, WI 53212. The listed phone number is (414) 326-2218.

What is Erin Gonzalez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Erin Gonzalez enrolled in Medicare?

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

What insurance does Erin Gonzalez accept?

Health plans from Medica and UnitedHealthcare list Erin 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 Erin Gonzalez was last updated on February 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.