Individual provider Active NPI

Estela Gumina, FNP-C

  • Family Nurse Practitioner
  • Ithaca, NY
National Provider Identifier
1275280059
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348297 Issued in NY
Practice address
720 Willow Ave
Ithaca, NY 14850-3215
Phone
(607) 219-4600
NPI assigned
Mar 2, 2022
Last updated
Mar 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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 348297 NY Primary

Addresses

Primary practice location

720 Willow Ave
Ithaca, NY 14850-3215

Mailing address

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858

Other names 1

  • Estela Gaxha Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220420000620 NY Practitioner - Nurse Practitioner 4981091006 Reassigns benefits to 4 organizations
I20240605002755 TX Practitioner - Nurse Practitioner 4981091006 Reassigns benefits to 1 organization
I20240613001058 PA Practitioner - Nurse Practitioner 4981091006

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Careathome Medical Practice KyGroup PAC ID 6800202193, 16 clinicians

Practice addresses (Care Compare)

15 Canandaigua St
Shortsville, NY 14548-9763
Phone (585) 289-3560

5851 Legacy Cir
FL 6
Plano, TX 75024-5966
Phone (888) 553-2823

699 S Main St
Suite 5
Canandaigua, NY 14424-2208
Phone (585) 396-6050

800 W Miller St
Suite 11
Newark, NY 14513-1354
Phone (315) 226-8900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Apr 1, 2022 Accepting new patients
Urban Family Practice PC Family CurrentSince Jun 1, 2024 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Jan 1, 2026 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Apr 1, 2022 Accepting new patients
Careathome Medical Practice Ky Family CurrentSince Jun 1, 2024 Accepting new patients
Five Star Medical Office PC CurrentSince Jun 1, 2024 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Jan 1, 2026 Accepting new patients
Careathome Medical Practice Family CurrentSince Jun 1, 2024 Accepting new patients
Rochester General Hospital Past Accepting new patients
Perfect Health PC PastSince Jun 9, 2024 Accepting new patients

Locations

2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663

564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026

73 Buffalo St
Ste 100
Canandaigua, NY 14424

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

10407 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 576-4652

720 Willow Ave
Ithaca, NY 14850
Phone (570) 887-3025

169 Madison Ave
Ste 2817
New York, NY 10016
Phone (917) 410-7931

169 Madison Ave
Ste 2829
New York, NY 10016

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

5851 Legacy Cir
Fl 6
Plano, TX 75024
Phone (214) 843-1904

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: egumina178262@direct-guthrie.org
  • Direct secure messaging: egumina435849@direct.rochesterregional.org

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1275280059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-888-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 WILLOW AVE",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503215",
            "telephone_number": "607-219-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMINA",
        "first_name": "ESTELA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTELA",
            "last_name": "GAXHA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.