MICHELLE MARGUERITE GONZALEZ APRN
NPI 1457776163
Nurse Practitioner - Gerontology in South Windsor, CT

Active since March 04, 2014PECOS Enrolled
18 CLEARVIEW DR, SOUTH WINDSOR, CT 06074(860) 843-2012 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 27, 2017 (3 updates tracked since 2017).

About Michelle Marguerite Gonzalez Aprn NPPES

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

MICHELLE MARGUERITE GONZALEZ APRN (NPI 1457776163) is an individual gerontology provider in South Windsor, Connecticut, licensed in Connecticut (005680) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hartford.

NPPES Registry Identity

NPI1457776163
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMICHELLE MARGUERITE GONZALEZCredential: APRN
Location Address18 CLEARVIEW DRSouth Windsor, CT 06074-2230
Mailing Address18 Clearview DrSouth Windsor, CT 06074-2230 · (860) 593-4630
Sole ProprietorNo
Enumeration DateMarch 4, 2014
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1457776163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in CT · 005680
Also ListedNurse PractitionerTaxonomy 363L00000X · License 005680 (CT)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 5680 (CT)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 005680 (CT)
18 CLEARVIEW DR, South Windsor, CT 06074

Other Names 1

Professional Name (2)Michelle Marguerite Panchak Aprn

Secondary Practice Location 1

Location 180 Seymour Street, Hartford Hospital Surgery DeptHartford, CT 06102-5037 · Phone (860) 972-4670

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michelle Marguerite Gonzalez Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06074 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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 Michelle Gonzalez's NPI number?

The NPI number for Michelle Gonzalez is 1457776163. It was assigned to this individual provider in the NPPES registry on March 4, 2014. The provider is also known as Michelle Marguerite Panchak Aprn.

Where is Michelle Gonzalez located?

Michelle Gonzalez practices at 18 Clearview Dr, South Windsor, CT 06074. The listed phone number is (860) 843-2012.

What is Michelle Gonzalez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Michelle Gonzalez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michelle Gonzalez was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.