Active NPI
Andrea E Gunnells, FNP
- Family Nurse Practitioner
- Amherst, NY
National Provider Identifier
1174588024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F333551
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005603671 | Other | NY | BLUE CROSS/BLUE SHIELD |
| 00026497301 | Other | NY | UNIVERA |
| 9511868 | Other | NY | INDEPENDENT HEALTH |
Other names 1
- Andrea Verrastro
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
Enrollment records 1
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
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 100
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 80.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 333551 | NY | MD | Licensed Practical Nurse |
| F333551 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dent Neurologic Group LLP | Current | 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 | Past | 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
- https://fhir4.healow.com/fhir/r4/IHBEAA
- 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.
-
- Neurology Physician
- Amherst, NY
- NPI 1497850911
-
- Internal Medicine Physician
- Williamsville, NY
- NPI 1255394763
-
- Infusion Therapy Clinic/Center
- Amherst, NY
- NPI 1801946488
-
- Diagnostic Radiology Physician
- Williamsville, NY
- NPI 1194773283
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.