Individual provider Active NPI

Andrea E Gunnells, FNP

  • Family Nurse Practitioner
  • Amherst, NY
National Provider Identifier
1174588024
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F333551 Issued in NY
Practice address
3980 Sheridan Dr
6TH Floor
Amherst, NY 14226-1727
Phone
(716) 250-2000
Fax
(716) 250-2040
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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 F333551 NY Primary

Addresses

Primary practice location

3980 Sheridan Dr
6TH Floor
Amherst, NY 14226-1727

Mailing address

3980 Sheridan Drive
Amherst, NY 14226-2918
Phone (716) 565-1234

Other identifiers 3

IdentifierTypeStateIssuer
005603671OtherNYBLUE CROSS/BLUE SHIELD
00026497301OtherNYUNIVERA
9511868OtherNYINDEPENDENT HEALTH

Other names 1

  • Andrea Verrastro Former name

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
I20110125000455 NY Practitioner - Nurse Practitioner 5698954501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dent Neurologic Group LLPGroup PAC ID 1951298033, 117 clinicians

Practice addresses (Care Compare)

3980 Sheridan Dr
Amherst, NY 14226-1727
Phone (716) 250-2000

Merit-based Incentive Payment System (MIPS)

Final score
44.01 of 100Reported as group
Promoting interoperability
0
Improvement activities
40
Cost
80.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
333551NYMDLicensed Practical Nurse
F333551NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dent Neurologic Group LLP CurrentSince Nov 7, 2013 Accepting new patients
Dent Neuologic Institute Past Accepting new patients
Northtowns Imaging PC Past Accepting new patients
Academic Medicine Services, Inc. Past Accepting new patients
Lisa S. Ball, Family Health NP, PLLC Family PastSince Oct 12, 2017 Accepting new patients

Locations

200 Sterling Dr
Orchard Park, NY 14127
Phone (716) 667-8401

3980 Sheridan Dr
Snyder, NY 14226
Phone (716) 929-2800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHBEAA
  • Direct secure messaging: andrea.gunnells@dent.eclinicaldirectplus.com

Organizations & group practices 5

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1174588024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 SHERIDAN DRIVE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262918",
            "telephone_number": "716-565-1234",
            "fax_number": "716-565-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 SHERIDAN DR",
            "address_2": "6TH FLOOR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261727",
            "telephone_number": "716-250-2000",
            "fax_number": "716-250-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNELLS",
        "first_name": "ANDREA",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "005603671",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026497301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9511868",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "VERRASTRO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.