Individual provider Active NPI

Gabrielle Louise Divernieri

  • Physician Assistant
  • Poughkeepsie, NY
National Provider Identifier
1568810992
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
241 North Road
Poughkeepsie, NY 12601
Phone
(845) 483-5000
NPI assigned
May 26, 2016
Last updated
May 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

241 North Road
Poughkeepsie, NY 12601

Mailing address

241 North Road
Poughkeepsie, NY 12601

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
I20161004001826 NY Practitioner - Physician Assistant 3476841628 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians
Firstcare Medical, PCGroup PAC ID 5496853756, 12 clinicians

Practice addresses (Care Compare)

1240 Ulster Ave
Kingston, NY 12401-1517
Phone (845) 585-1270

186 Route 52
Carmel, NY 10512-1200
Phone (845) 936-0002

222 Route 299
Highland, NY 12528-2524
Phone (845) 691-3627

377 S Oyster Bay Rd
Plainview, NY 11803-3323
Phone (516) 537-9061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Group of the Hudson Valley P.C. CurrentSince Mar 6, 2023 Accepting new patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Mar 6, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Dec 14, 2016 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Dec 14, 2016 Accepting new patients
Firstcare Medical, PC CurrentSince Jan 5, 2026 Accepting new patients

Locations

222 Route 299
Highland, NY 12528
Phone (845) 691-3627

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: gabrielle.divernieri@ghuc.eclinicaldirectplus.com
  • Direct secure messaging: gdivernieri@premiermedicalhv.medentdirect.com

Organizations & group practices 6

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": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1568810992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 NORTH ROAD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 NORTH ROAD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12601",
            "telephone_number": "845-483-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVERNIERI",
        "first_name": "GABRIELLE",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.