Individual provider Active NPI

Lana Catherine Gagne, NP

  • Family Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1366877540
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F338092-1 Issued in NY
Practice address
1000 E Genesee St
Ste 500
Syracuse, NY 13210-1885
Phone
(315) 471-8388
Fax
(315) 471-8019
NPI assigned
Sep 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 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 F338092-1 NY Primary

Addresses

Primary practice location

1000 E Genesee St
Ste 500
Syracuse, NY 13210-1885

Mailing address

1000 E Genesee St
Ste 500
Syracuse, NY 13210-1885
Phone (760) 243-4009

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
I20151218000552 NY Practitioner - Nurse Practitioner 3971825811 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zaki Badawy, MD PCGroup PAC ID 9234576844, 18 clinicians

Practice addresses (Care Compare)

8100 Oswego Rd
Suite 140
Liverpool, NY 13090-1659
Phone (315) 726-3861

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
338092NYMDRheumatology Physician
F338092-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Community Hospital CurrentSince Sep 13, 2023 Accepting new patients
Auburn Community Hospital CurrentSince Sep 13, 2023 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Nov 1, 2019 Accepting new patients
Zaki Badawy, MD PC Past Accepting new patients

Locations

17 Lansing St
Ste 201
Auburn, NY 13021
Phone (315) 252-7434

6870 E Genesee St
Fayetteville, NY 13066
Phone (315) 679-4367

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

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": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1366877540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST",
            "address_2": "STE 500",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101885",
            "telephone_number": "760-243-4009",
            "fax_number": "760-243-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST",
            "address_2": "STE 500",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101885",
            "telephone_number": "315-471-8388",
            "fax_number": "315-471-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNE",
        "first_name": "LANA",
        "middle_name": "CATHERINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338092-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.