Individual provider Active NPI

Yvonne M Gascon, FNP

  • Family Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1386638500
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F331121 Issued in NY
Practice address
50 Lakefront Blvd
Suite 130
Buffalo, NY 14202-4345
Phone
(716) 849-8750
Fax
(716) 849-8757
NPI assigned
Sep 2, 2005
Last updated
Dec 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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 F331121 NY Primary

Addresses

Primary practice location

50 Lakefront Blvd
Suite 130
Buffalo, NY 14202-4345

Mailing address

50 Lakefront Blvd
Suite 130
Buffalo, NY 14202-4345
Phone (716) 849-8750

Other identifiers 1

IdentifierTypeStateIssuer
02501742MedicaidNY

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
I20040503000944 NY Practitioner - Nurse Practitioner 5698763324 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F331121NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Loretto Health and Rehabilitation Center CurrentSince Nov 21, 2015 Accepting new patients
Mobile NP-Adult Health of Cny, P.C. CurrentSince Sep 24, 2012 Accepting new patients
Elder Medical Services PC PastSince Aug 1, 2004 Accepting new patients

Locations

700 E Brighton Ave
Syracuse, NY 13205
Phone (315) 413-3279

Interoperability endpoints

  • Direct secure messaging: ygascon@hiemail.healtheconnections.org

Organizations & group practices 3

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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1386638500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LAKEFRONT BLVD",
            "address_2": "SUITE 130",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142024345",
            "telephone_number": "716-849-8750",
            "fax_number": "716-849-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LAKEFRONT BLVD",
            "address_2": "SUITE 130",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142024345",
            "telephone_number": "716-849-8750",
            "fax_number": "716-849-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASCON",
        "first_name": "YVONNE",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02501742",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.