LOUREN M GONZALES
NPI 1972021582
Nurse Practitioner - Adult Health in Stony Brook, NY

Active since September 04, 2017PECOS Enrolled
100 NICOLLS RD HSC LEVEL 4 ROOM 120, HSC LEVEL 4 ROOM 120, STONY BROOK, NY 11790(631) 444-5400 Get Directions Write a Review

NPPES record last updated: May 15, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 15, 2018, Apr 20, 2018, Mar 9, 2018 (3 updates tracked since 2018).

About Louren M Gonzales NPPES

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

LOUREN M GONZALES (NPI 1972021582) is an individual adult health provider in Stony Brook, New York, licensed in New York (307459) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972021582
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLOUREN M GONZALES
Location Address100 NICOLLS RD HSC LEVEL 4 ROOM 120, HSC LEVEL 4 ROOM 120Stony Brook, NY 11790
Mailing Address100 Nicolls Rd Hsc Level 4 Room 120Stony Brook, NY 11790-3407
Sole ProprietorNo
Enumeration DateSeptember 4, 2017
Last NPPES UpdateMay 15, 20183 updates tracked since enumeration
✔ NPI 1972021582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 307459
100 NICOLLS RD HSC LEVEL 4 ROOM 120, Stony Brook, NY 11790

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Louren M Gonzales 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 Louren Gonzales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diagnostic Radiology
SUNY AT STONY BRK, HSC, L4, RM 120
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 69 clinicians in this Medicare group

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 11790 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 Louren Gonzales's NPI number?

The NPI number for Louren Gonzales is 1972021582. It was assigned to this individual provider in the NPPES registry on September 4, 2017.

Where is Louren Gonzales located?

Louren Gonzales practices at 100 Nicolls Rd Hsc Level 4 Room 120 Hsc Level 4 Room 120, Stony Brook, NY 11790. The listed phone number is (631) 444-5400.

What is Louren Gonzales's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Louren Gonzales enrolled in Medicare?

Yes. Louren Gonzales is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Louren Gonzales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Louren Gonzales reassigns Medicare benefits to Stony Brook Radiology, University Faculty Practice Corporation (Stony Brook, NY). 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 Louren Gonzales'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 Louren Gonzales was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.