Individual provider Active NPI

Gina Chavarria, AGNP

  • Adult Health Nurse Practitioner
  • Albany, NY
National Provider Identifier
1447015409
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F311692-01 Issued in NY
Practice address
7 Southwoods Blvd Ste 17
Albany, NY 12211-2564
Phone
(518) 292-6075
NPI assigned
Feb 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 622633-01 NY
Adult Health Nurse Practitioner 363LA2200X F311692-01 NY Primary

Addresses

Primary practice location

7 Southwoods Blvd Ste 17
Albany, NY 12211-2564

Mailing address

59 Devonshire Way
Halfmoon, NY 12065-3230
Phone (413) 329-3077

Other practice location 1

59 Devonshire Way
Halfmoon, NY 12065-3230
Phone (413) 329-3077

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
I20240415000157 NY Practitioner - Nurse Practitioner 4486093150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Cardiology Associates PLLCGroup PAC ID 1254228240, 72 clinicians

Practice addresses (Care Compare)

2200 Burdett Ave
Suite 202
Troy, NY 12180-2451
Phone (518) 292-6200

Hospital & facility affiliations

  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
622633-01NYMDRegistered Nurse
F311692-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Cardiology Associates PLLC CurrentSince Apr 1, 2024 Accepting new patients
Burdett Orthopedics, PC CurrentSince Apr 1, 2024 Accepting new patients

Locations

7 Southwoods Blvd
Ste 4
Albany, NY 12211

7 Southwoods Blvd
Ste 17
Albany, NY 12211
Phone (518) 292-6035

7 Southwoods Blvd
Albany, NY 12211
Phone (518) 292-6060

2200 Burdett Ave
Ste 202
Troy, NY 12180
Phone (518) 272-0122

Interoperability endpoints

  • Direct secure messaging: gchavarria23272@albanymed.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1447015409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 DEVONSHIRE WAY",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120653230",
            "telephone_number": "413-329-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SOUTHWOODS BLVD STE 17",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112564",
            "telephone_number": "518-292-6075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Devonshire Way",
            "address_purpose": "LOCATION",
            "city": "Halfmoon",
            "state": "NY",
            "postal_code": "120653230",
            "country_code": "US",
            "telephone_number": "413-329-3077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVARRIA",
        "first_name": "GINA",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "622633-01",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F311692-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.