Individual provider Active NPI

Nicole Marie Gilbert, FNP

  • Family Nurse Practitioner
  • Marathon, NY
National Provider Identifier
1184330441
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351588 Issued in NY
Practice address
24 Albro Rd
Marathon, NY 13803-2808
Phone
(607) 849-3180
NPI assigned
Jan 30, 2023
Last updated
Jul 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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 351588 NY Primary

Addresses

Primary practice location

24 Albro Rd
Marathon, NY 13803-2808

Mailing address

85 S West St
Homer, NY 13077-1542
Phone (607) 753-3797

Other practice location 1

1 East Main Street
Marathon, NY 13803
Phone (607) 849-3900

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Homer Health Information Exchange (HIE)

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
I20230330000363 NY Practitioner - Nurse Practitioner 1658745815 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Northeast, LLC CurrentSince Jan 13, 2025 Accepting new patients
Nys Medical Associate PLLC CurrentSince Feb 17, 2024 Accepting new patients
Mill Basin Medical Health PC CurrentSince Apr 2, 2024 Accepting new patients
NV Pacs 2 LLC CurrentSince Jan 13, 2025 Accepting new patients
New York General Medical Services PC CurrentSince Jan 13, 2025 Accepting new patients
Ny Primary Care Practice, PC Urgent Care Past Accepting new patients

Locations

257 State St
Batavia, NY 14020
Phone (585) 343-1300

1583 E 66th St
#1
Brooklyn, NY 11234
Phone (917) 318-4724

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

4241 201st St
Flushing, NY 11361
Phone (516) 599-5688

48 Frost Ln
Unit A
Lawrence, NY 11559
Phone (516) 587-9960

300 Community Dr
Manhasset, NY 11030

2090 Albany Post Rd
Montrose, NY 10548

17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300

1 Elsie St
Rome, NY 13440
Phone (315) 336-4435

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1184330441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S WEST ST",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771542",
            "telephone_number": "607-753-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ALBRO RD",
            "city": "MARATHON",
            "state": "NY",
            "postal_code": "138032808",
            "telephone_number": "607-849-3180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 East Main Street",
            "address_purpose": "LOCATION",
            "city": "Marathon",
            "state": "NY",
            "postal_code": "13803",
            "country_code": "US",
            "telephone_number": "607-849-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Homer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "24 Albro Rd",
            "city": "Marathon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "138032808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marathon, NY

Sources for this page

Verify at the official NPI Registry.