Active NPI
Heather Gjertsen, FNP-BC
- Nurse Practitioner
- Monroe, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F355912-01
- Practice address
- 1386 Lakes Rd
Monroe, NY 10950-4223 - Phone
- (845) 519-9183
- NPI assigned
- Jan 31, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F355912-01 | NY | Primary |
Addresses
Primary practice location
1386 Lakes Rd
Monroe, NY 10950-4223
Mailing address
1386 Lakes Rd
Monroe, NY 10950-4223
Phone (845) 519-9183
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13966 35TH Ave
Flushing, NY 11354-3524
Phone (718) 961-5300
3379 Crompond Rd
Yorktown Heights, NY 10598-3605
Phone (914) 930-5550
Hospital & facility affiliations
- Americare Certified Special Services, Inc Chha
- Montefiore St Luke'S Cornwall
- Sapphire Nursing And Rehab At Goshen
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F355912-01 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ion Oltean Physician PC | Current | Accepting new patients | |
| Divinity Medical Services PLLC | Current | Accepting new patients |
Locations
22 Robert R Kasin Way
Beacon, NY 12508
Phone (845) 231-5792
332 E 149th St
Bronx, NY 10451
Phone (347) 329-4010
13966 35th Ave
Flushing, NY 11354
Phone (718) 961-5300
14702 34th Ave
Flushing, NY 11354
Phone (516) 682-5050
2 Glenmere Cove Rd
Goshen, NY 10924
Phone (845) 291-4700
46 Harriman Dr
Goshen, NY 10924
Phone (845) 291-3700
172 Meadow Hill Rd
Newburgh, NY 12550
Phone (410) 499-1437
1360 Route 112
Port Jefferson Station, NY 11776
Phone (631) 473-3304
37 S Mesier Ave
Wappingers Fl, NY 12590
Phone (718) 697-7523
3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111
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.
-
- Urgent Care Clinic/Center
- Yorktown Heights, NY
- NPI 1497159560
-
- Internal Medicine Physician
- Bayside, NY
- NPI 1912236811
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1770513145
-
- General Acute Care Hospital
- Newburgh, NY
- NPI 1003923434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738368000000",
"number": "1609689793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1386 LAKES RD",
"city": "MONROE",
"state": "NY",
"postal_code": "109504223",
"telephone_number": "845-519-9183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1386 LAKES RD",
"city": "MONROE",
"state": "NY",
"postal_code": "109504223",
"telephone_number": "845-519-9183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GJERTSEN",
"first_name": "HEATHER",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-31",
"last_updated": "2025-02-01",
"certification_date": "2025-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F355912-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.