Active NPI
Kimberly Gaube, FNP
- Family Nurse Practitioner
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 349203
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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 PLLCCora Health Services Inc
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
- Northern Westchester Hospital
- Vassar Brothers Medical Center
- Putnam Hospital Center
- Burke Rehabilitation Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 48.77 of 100
- Quality
- 35.11
- Improvement activities
- 30
- Cost
- 60.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 349203 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somers Orthopaedic Surgery & Sports Medicine Group PLLC | Family | Current | Accepting new patients |
| Somers Orthopaedic Surgery & Sports Medicine Group PLLC | Current | 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
- 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.
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Carmel, NY
- NPI 1720028384
-
- Orthopaedic Surgery Physician
- Danbury, CT
- NPI 1427533959
Family
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Mount Kisco, NY
- NPI 1396178356
-
- General Acute Care Hospital
- Mount Kisco, NY
- NPI 1912992215
-
- General Acute Care Hospital
- Carmel, NY
- NPI 1972557379
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
-
- Rehabilitation Hospital
- White Plains, NY
- NPI 1841295219
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.