Individual provider Active NPI

Ryan R Gayfield, ANP

  • Adult Health Nurse Practitioner
  • Sherburne, NY
National Provider Identifier
1538445853
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
305798 Issued in NY
Practice address
20 Chapel Street
Sherburne, NY 13460-9753
Phone
(607) 674-2445
NPI assigned
Nov 1, 2011
Last updated
Jun 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 305798 NY Primary

Addresses

Primary practice location

20 Chapel Street
Sherburne, NY 13460-9753

Mailing address

PO Box 709
Sherburne, NY 13460-0709

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
I20111117000244 NY Practitioner - Nurse Practitioner 0345414975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians

Practice addresses (Care Compare)

15 Turner LN
Edmeston, NY 13335-0015
Phone (607) 965-8900

178 Grandview Dr
Cobleskill, NY 12043-5144
Phone (518) 254-3456

20 Chapel St
Sherburne, NY 13460-9753
Phone (607) 674-2445

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.62 of 100Reported as apm
Quality
77.97
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305798NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Nov 7, 2011 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Nov 7, 2011 Accepting new patients
New Berlin Family Practice Past Accepting new patients

Locations

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

20 Chapel St
Sherburne, NY 13460
Phone (607) 674-2445

Interoperability endpoints

  • Direct secure messaging: rgayfield9554@bassett.direct-ci.net

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.

Hospital & facility affiliations 6

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": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1538445853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 709",
            "city": "SHERBURNE",
            "state": "NY",
            "postal_code": "134600709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CHAPEL STREET",
            "city": "SHERBURNE",
            "state": "NY",
            "postal_code": "134609753",
            "telephone_number": "607-674-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYFIELD",
        "first_name": "RYAN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-01",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherburne, NY

Sources for this page

Verify at the official NPI Registry.