Individual provider Active NPI

Kim Gembecki, FNP

  • Family Nurse Practitioner
  • Valhalla, NY
National Provider Identifier
1154581577
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
333877 Issued in NY
Practice address
1428 Grasslands Road
Valhalla, NY 10595
Phone
(914) 646-1865
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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 333877 NY Primary

Addresses

Primary practice location

1428 Grasslands Road
Valhalla, NY 10595

Mailing address

26 Lincoln Rd
Putnam Valley, NY 10579-2614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090529000377 NY Practitioner - Nurse Practitioner 0042369746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Putnam Gastroenterology PCGroup PAC ID 9537059845, 14 clinicians

Practice addresses (Care Compare)

667 Stoneleigh Ave
Carmel, NY 10512-2454
Phone (845) 278-5223

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
333877NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Putnam Gastroenterology P.C. CurrentSince Dec 18, 2023 Accepting new patients
Nysarc Inc. Ulster, Greene, Putnam Counties Chapter CurrentSince May 1, 2019 Accepting new patients
Hudson Valley Health Specialties, Inc PastSince May 1, 2019 Accepting new patients

Locations

667 Stoneleigh Ave
Ste 201A
Carmel, NY 10512
Phone (845) 278-5223

471 Albany Ave
Kingston, NY 12401
Phone (845) 331-4300

139 Cornell St
Kingston, NY 12401
Phone (845) 331-4300

Interoperability endpoints

  • Direct secure messaging: kimg@wihd.curemd.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EJIHCA

Organizations & group practices 3

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 3

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1154581577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 LINCOLN RD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105792614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 GRASSLANDS ROAD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "10595",
            "telephone_number": "914-646-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMBECKI",
        "first_name": "KIM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "333877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.