Individual provider Active NPI

Kamica A O'Gilvie, DNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1609470582
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009628 Issued in FL
Practice address
115 E 39TH St
New York, NY 10016-0943
Phone
(732) 392-6778
NPI assigned
Nov 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11009628 FL Primary
Registered Nurse 163W00000X 704793 NY

Addresses

Primary practice location

115 E 39TH St
New York, NY 10016-0943

Mailing address

581 Peppergrass Run
Royal Palm Beach, FL 33411-4234
Phone (917) 763-2861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA, NY, MA, GA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20251119002225 FL Practitioner - Nurse Practitioner 9335630193
I20260416001983 VA Practitioner - Nurse Practitioner 9335630193 Reassigns benefits to 1 organization
I20260427001188 NY Practitioner - Nurse Practitioner 9335630193 Reassigns benefits to 1 organization
I20260527003448 MA Practitioner - Nurse Practitioner 9335630193 Reassigns benefits to 1 organization
I20260624002441 GA Practitioner - Nurse Practitioner 9335630193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

157 Winthrop Rd
Brookline, MA 02445-4642

300 1St Ave
Suite 103
Needham, MA 02494-2736

581 Peppergrass Run
Royal Palm Beach, FL 33411-4234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
704793NYMDRegistered Nurse
11009628FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Simbioza Inc. CurrentSince May 1, 2026 Accepting new patients
Xrhealth USA Inc CurrentSince Nov 12, 2025 Accepting new patients

Locations

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833

300 1st Ave
Ste 103
Needham Heights, MA 02494
Phone (888) 977-6828

25 Robert Pitt Dr
Ste 204
Monsey, NY 10952
Phone (857) 930-3134

4701 Cox Rd
Ste 285
Glen Allen, VA 23060
Phone (540) 255-3881

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.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1609470582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 PEPPERGRASS RUN",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114234",
            "telephone_number": "917-763-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 39TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160943",
            "telephone_number": "732-392-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'GILVIE",
        "first_name": "KAMICA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009628",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "704793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.