Individual provider Active NPI

Gail Elizabeth Kane, FNP

  • Family Nurse Practitioner
  • Bluffton, SC
National Provider Identifier
1205158508
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25012 Issued in SC
Practice address
3 Progressive St
Bluffton, SC 29910-5165
Phone
(843) 548-0533
Fax
(843) 815-9121
NPI assigned
Feb 28, 2010
Last updated
Mar 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F336127 NY
Family Nurse Practitioner 363LF0000X 25012 SC Primary

Addresses

Primary practice location

3 Progressive St
Bluffton, SC 29910-5165

Mailing address

3 Progressive St
Bluffton, SC 29910-5165
Phone (843) 548-0533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110420000483 NY Practitioner - Nurse Practitioner 3173708963 Reassigns benefits to 1 organization
I20220316001592 SC Practitioner - Nurse Practitioner 3173708963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3 Progressive St
Bluffton, SC 29910-5165
Phone (912) 819-2146

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F336127NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Candler Urgent Care Centers LLC CurrentSince Mar 8, 2022 Accepting new patients
St Josephs Candler Urgent Care Centers LLC CurrentSince Mar 8, 2022 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Feb 20, 2012 Accepting new patients
United Medical Associates PC Past Accepting new patients
Syracuse Community Health Center, Inc. Past Accepting new patients

Locations

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

346 Grand Ave
Johnson City, NY 13790
Phone (607) 729-8156

4417 Vestal Pkwy E
Ste 301
Vestal, NY 13850
Phone (607) 797-4496

3 Progressive St
Bluffton, SC 29910
Phone (843) 548-0533

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, 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": "1267315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1205158508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PROGRESSIVE ST",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105165",
            "telephone_number": "843-548-0533",
            "fax_number": "843-815-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PROGRESSIVE ST",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105165",
            "telephone_number": "843-548-0533",
            "fax_number": "843-815-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "GAIL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-28",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336127",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.