Laura Irene Gonzalez, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704312241 Issued in MI

Practice address

525 S Center St
Hartford, MI 49057-1362

Phone

(269) 463-3600

NPI assigned

Feb 11, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeland Community Hospital WatervlietGroup PAC ID 7416942750, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corewell Health Watervliet Hospital Hospital, Watervliet, MI, CCN 230078
• Lakeland Hospital, St Joseph Hospital, St Joseph, MI, CCN 230021

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lgonzalez1790882@epic00.corewelldirect.org
• FHIR API: https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lakeland Community Hospital Watervliet

  • Rural Health Clinic/Center
  • Hartford, MI
  • NPI 1023114741
  Medicare reassignment Care Compare group NPD
• Lakeland Community Hospital Watervliet

  • Rural Health Clinic/Center
  • Dowagiac, MI
  • NPI 1184467607
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lakeland Community Hospital Watervliet

  • General Acute Care Hospital
  • Watervliet, MI
  • NPI 1700994845
  Care Compare affiliation
• Lakeland Hospitals at Niles and St Joseph, Inc

  • General Acute Care Hospital
  • Saint Joseph, MI
  • NPI 1134220031
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1306438288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S CENTER ST",
            "city": "HARTFORD",
            "state": "MI",
            "postal_code": "490571362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S CENTER ST",
            "city": "HARTFORD",
            "state": "MI",
            "postal_code": "490571362",
            "telephone_number": "269-463-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 N Center St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "MI",
            "postal_code": "490571199",
            "country_code": "US",
            "telephone_number": "269-621-0011 x26962",
            "fax_number": "269-308-3336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1441 S Westnedge Ave",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490081370",
            "country_code": "US",
            "telephone_number": "269-381-1234 x26938",
            "fax_number": "269-381-9809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LAURA",
        "middle_name": "IRENE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704312241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN NURSING LICENSE (NP)",
            "identifier": "4704312241",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Wellington Fuentes, LMSW
• Tamara Nichole Gaishin, PA-C
• Danielle Gatny, LMSW, MSW
• Andrea Godawa, D.D.S
• Hallie Elizabeth Gonzalez, CNM
• Seth William Griffin, DDS
• Dalena Haddock, B.S
• Shelby Hall
• Andrew Bruce Hamilton, D.D.S.
• Elizabeth Sally Hodge, LPN

• Family Nurse Practitioner in Hartford, MI
• Providers in Hartford, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.