Individual provider Active NPI

Ilona Gocza Richards, FNP-BC

  • Family Nurse Practitioner
  • Monticello, IN
National Provider Identifier
1376840371
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71003456A Issued in IN
Practice address
810 S 6TH St
Monticello, IN 47960-8201
Phone
(574) 583-6543
Fax
(574) 583-9502
NPI assigned
Feb 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71003456A IN Primary

Addresses

Primary practice location

810 S 6TH St
Monticello, IN 47960-8201

Mailing address

1200 W White River Blvd
Muncie, IN 47303-4988
Phone (877) 668-5621

Other practice location 1

6220 W Main St
Kalamazoo, MI 49009-8925
Phone (269) 276-4744

Other identifiers 2

IdentifierTypeStateIssuer
000000827487OtherINANTHEM PROVIDE NUMBER
201022390MedicaidIN

Other names 1

  • Ms. Ilona Gocza Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address igocza@direct.iuhealth.org
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group
Direct Messaging Address igocza@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20110629000315 IN Practitioner - Nurse Practitioner 4183802812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
75.38
Promoting interoperability
100
Improvement activities
40
Cost
79.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71003456AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arnett Clinic, LLC CurrentSince Aug 1, 2013 Accepting new patients
Bronson Lakeview Hospital CurrentSince Jul 1, 2022 Accepting new patients
Arnett Clinic, LLC Current Accepting new patients
Bronson South Haven Hospital CurrentSince Sep 4, 2018 Accepting new patients
Bronson Methodist Hospital Family CurrentSince Sep 4, 2018 Accepting new patients
Bronson Lakeview Hospital CurrentSince Jul 1, 2022 Accepting new patients
Arnett Clinic, LLC CurrentSince Aug 1, 2013 Accepting new patients
Bronson South Haven Hospital CurrentSince Sep 4, 2018 Accepting new patients

Locations

8016 Reliable Pkwy
Chicago, IL 60686

2600 Greenbush St
Lafayette, IN 47904

1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009

2845 Capital Ave SW
Ste 302
Battle Creek, MI 49015
Phone (269) 324-0799

2900 Watkins Rd
Battle Creek, MI 49015
Phone (269) 245-5430

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

6220 W Main St
Kalamazoo, MI 49009
Phone (269) 276-4744

5623 Gull Rd
Ste 500
Kalamazoo, MI 49048
Phone (269) 775-8031

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796

955 S Bailey Ave
Ste 200
South Haven, MI 49090
Phone (269) 639-2720

950 S Bailey Ave
Ste 1
South Haven, MI 49090
Phone (269) 639-2866

930 Blue Star Hwy
South Haven, MI 49090
Phone (269) 637-1115

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org
  • Direct secure messaging: igocza@direct.iuhealth.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1376840371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W WHITE RIVER BLVD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034988",
            "telephone_number": "877-668-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S 6TH ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479608201",
            "telephone_number": "574-583-6543",
            "fax_number": "574-583-9502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6220 W Main St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490098925",
            "country_code": "US",
            "telephone_number": "269-276-4744",
            "fax_number": "269-353-5856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "ILONA",
        "middle_name": "GOCZA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-28",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003456A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDE NUMBER",
            "identifier": "000000827487",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201022390",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "igocza@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "3900 E Bristol St",
            "city": "Elkhart",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465144466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "igocza@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "810 S 6th St",
            "city": "Monticello",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479608201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ILONA",
            "last_name": "GOCZA",
            "prefix": "MS.",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monticello, IN

Sources for this page

Verify at the official NPI Registry.