Active NPI
Molly Anne Gagnon, FNP-BC
- Family Nurse Practitioner
- Albany, NY
National Provider Identifier
1528773876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F351027
- Practice address
- 43 New Scotland Ave
Albany, NY 12208-3412 - Phone
- (518) 262-3125
- NPI assigned
- Jan 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F351027 | NY | Primary |
Addresses
Primary practice location
43 New Scotland Ave
Albany, NY 12208-3412
Mailing address
62 Circle View Dr
Hampden, MA 01036-9735
Phone (413) 896-8404
Other practice location 1
62 Circle View Dr
Hampden, MA 01036-9735
Phone (413) 896-8404
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gagnonm1@amc.edu | Health Information Exchange (HIE) | Albany Medical Center |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F351027 | NY | MD | Family Nurse Practitioner |
Interoperability endpoints
- mgagnon24696@albanymed.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1528773876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 CIRCLE VIEW DR",
"city": "HAMPDEN",
"state": "MA",
"postal_code": "010369735",
"telephone_number": "413-896-8404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 NEW SCOTLAND AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083412",
"telephone_number": "518-262-3125"
}
],
"practiceLocations": [
{
"address_1": "62 Circle View Dr",
"address_purpose": "LOCATION",
"city": "Hampden",
"state": "MA",
"postal_code": "010369735",
"country_code": "US",
"telephone_number": "413-896-8404",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAGNON",
"first_name": "MOLLY",
"middle_name": "ANNE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F351027",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gagnonm1@amc.edu",
"affiliation": "Y",
"endpointDescription": "Hospital Email",
"affiliationName": "Albany Medical Center",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Hospital Email",
"address_1": "43 New Scotland Ave",
"city": "Albany",
"state": "NY",
"country_code": "US",
"postal_code": "122083412",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.