Individual provider Active NPI

Gina M. Dragone

  • Adult Health Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1609352095
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
308664 Issued in NY
Practice address
100 High St
Buffalo, NY 14203-1126
Phone
(716) 859-2175
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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 308664 NY Primary

Addresses

Primary practice location

100 High St
Buffalo, NY 14203-1126

Mailing address

726 Exchange St Ste 300
Buffalo, NY 14210-1467
Phone (716) 859-8396

Other identifiers 1

IdentifierTypeStateIssuer
308664OtherNYNY LICENSE

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
I20180910002584 NY Practitioner - Nurse Practitioner 5395095509 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dent Neurologic Group LLPGroup PAC ID 1951298033, 117 clinicians
Buffalo Hearing and Speech Center, IncGroup PAC ID 4183818370, 43 clinicians

Practice addresses (Care Compare)

3980 Sheridan Dr
Amherst, NY 14226-1727
Phone (716) 250-2000

50 E N St
Buffalo, NY 14203-1002
Phone (716) 885-8318

Merit-based Incentive Payment System (MIPS)

Final score
44.01 of 100Reported as group
Promoting interoperability
0
Improvement activities
40
Cost
80.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dent Neurologic Group LLP CurrentSince Sep 19, 2022 Accepting new patients
Kaleida Health Current Accepting new patients
Niagara Medical Services, P.C. Current Accepting new patients
Kaleida Health CurrentSince Aug 10, 2018 Accepting new patients
Kaleida Health CurrentSince Aug 10, 2018 Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

726 Exchange St
Ste 300
Buffalo, NY 14210
Phone (716) 859-8313

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

3980 Sheridan Dr
Snyder, NY 14226
Phone (716) 929-2800

Interoperability endpoints

  • Direct secure messaging: gina.dragone@dent.eclinicaldirectplus.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1609352095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 EXCHANGE ST STE 300",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142101467",
            "telephone_number": "716-859-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031126",
            "telephone_number": "716-859-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGONE",
        "first_name": "GINA",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "308664",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.