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TARIS GONZALEZ NP
NPI 1821290743
Nurse Practitioner in Fortville, IN

Active since June 04, 2007PECOS Enrolled
426 N CRYSTAL DR, FORTVILLE, IN 46040(317) 743-0009 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 23, 2026, Aug 29, 2019, Jul 24, 2019 and 2 more (5 updates tracked since 2018).

About Taris Gonzalez Np NPPES

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

TARIS GONZALEZ NP (NPI 1821290743) is an individual nurse practitioner in Fortville, Indiana, licensed in Indiana (71001601A) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1821290743
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTARIS GONZALEZCredential: NP
Location Address426 N CRYSTAL DRFortville, IN 46040-1688
Mailing Address426 N Crystal DrFortville, IN 46040-1688 · (317) 743-0009
Phone(317) 743-0009
Sole ProprietorYes
Enumeration DateJune 4, 2007
Last NPPES UpdateJuly 23, 20265 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1821290743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71001601A
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 · Acute CareTaxonomy 363LA2100X · License 71001601 (IN)
426 N CRYSTAL DR, Fortville, IN 46040
Open in Google Maps ↗

Secondary Practice Locations 3

Location 18856 South StFishers, IN 46038-2911 · Phone (317) 516-1177
Location 2135 Jordan RdIndianapolis, IN 46217-4003 · Phone (800) 260-6145
Location 3625 S Tillotson AveMuncie, IN 47304-4449 · Phone (800) 260-6145

Other Identifiers 2

OtherP01170026IN · Rr Medicare Ptan
Medicaid200460280IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taris Gonzalez Np 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.

Medicare Billing Reassignment

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

Gsg Pride Healthcare LLC
Same address
Primary Care
426 N CRYSTAL DR
Fortville, IN 46040
  • Reassigned Medicare billing, Indiana enrollment
NPI 1437622701 (317) 743-0009

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 46040 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Reported Quality Measures

Breast Cancer Screening
13%24 patients1/55-star benchmark: 93%
Colorectal Cancer Screening
11%35 patients1/55-star benchmark: 88%
Diabetes: Eye Exam
45%20 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
65%20 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%233 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
15%54 patients2/55-star benchmark: 61%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
1 supplier12 claims1,092 services$2.17 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$27.28 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers21 claims22 services$188.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

GSG PRIDE HEALTHCARE LLC
Clinic/Center (Primary Care)
426 N CRYSTAL DR
FORTVILLE, IN 46040
Hancock County (317) 743-0009

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 Taris Gonzalez's NPI number?

The NPI number for Taris Gonzalez is 1821290743. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Taris Gonzalez located?

Taris Gonzalez practices at 426 N Crystal Dr, Fortville, IN 46040. The listed phone number is (317) 743-0009.

What is Taris Gonzalez's specialty?

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

Is Taris Gonzalez enrolled in Medicare?

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

Which organization bills Medicare for Taris Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taris Gonzalez reassigns Medicare benefits to Gsg Pride Healthcare LLC (Fortville, IN). 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 Taris Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Taris Gonzalez was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.