Individual provider Active NPI

Kimberly Gaube, FNP

  • Family Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1144977455
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349203 Issued in NY
Practice address
220 Herald PL Apt 201
Syracuse, NY 13202-1002
Phone
(845) 661-5758
NPI assigned
Mar 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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 349203 NY Primary

Addresses

Primary practice location

220 Herald PL Apt 201
Syracuse, NY 13202-1002

Mailing address

220 Herald PL Apt 201
Syracuse, NY 13202-1002
Phone (845) 661-5758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231004002760 NY Practitioner - Nurse Practitioner 9234584640 Reassigns benefits to 1 organization
I20231004003160 CT Practitioner - Nurse Practitioner 9234584640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somers Orthopaedic Surgery and Sports Medicine Group PLLCGroup PAC ID 9638061674, shared by 5 NPIs, 29 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

40 Old Ridgebury Rd
Suite 101
Danbury, CT 06810-5123
Phone (203) 397-6872

400 Westage Business Ctr Dr
Suite 106
Fishkill, NY 12524-2223
Phone (845) 227-2228

657 E Main St
Suite 3
Mount Kisco, NY 10549-3424
Phone (914) 666-5550

664 Stoneleigh Ave
Suite 300
Carmel, NY 10512-3990
Phone (845) 278-8400

8449 SW Hwy 200
Ocala, FL 34481-9695
Phone (352) 693-3378

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033
  • Northern Westchester Hospital Hospital, Mount Kisco, NY, CCN 330162
  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
  • Putnam Hospital Center Hospital, Carmel, NY, CCN 330273
  • Burke Rehabilitation Hospital Inpatient rehabilitation facility, White Plains, NY, CCN 333030

Merit-based Incentive Payment System (MIPS)

Final score
48.77 of 100Reported as group
Quality
35.11
Improvement activities
30
Cost
60.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
349203NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Somers Orthopaedic Surgery & Sports Medicine Group PLLC Family CurrentSince Jul 30, 2023 Accepting new patients
Somers Orthopaedic Surgery & Sports Medicine Group PLLC CurrentSince Jul 30, 2023 Accepting new patients

Locations

40 Old Ridgebury Rd
Ste 101
Danbury, CT 06810
Phone (203) 397-6872

664 Stoneleigh Ave
Ste 300
Carmel, NY 10512
Phone 8452788400114

400 Westage Business Ctr Dr
Ste 106
Fishkill, NY 12524
Phone (845) 227-2228

657 E Main St
Ste 3
Mount Kisco, NY 10549
Phone (914) 471-4777

2 Victory Ct
Newburgh, NY 12550
Phone (845) 522-5480

Interoperability endpoints

  • Direct secure messaging: kgaube@somers1172.srs-direct.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1144977455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HERALD PL APT 201",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021002",
            "telephone_number": "845-661-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HERALD PL APT 201",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021002",
            "telephone_number": "845-661-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUBE",
        "first_name": "KIMBERLY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.