Amy Lee Gagne, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F335920-1 Issued in NY

Practice address

84 E State St
St. Mary'S Hospital, Gloversville Family Health Center
Gloversville, NY 12078

Phone

(518) 773-8894

Fax

(518) 773-8125

NPI assigned

Jun 24, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CT2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Community Health Resources, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Windsor, CT
  • NPI 1215979810
  Medicare reassignment NPD
• Nysarc Inc Fulton County Chapter

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Johnstown, NY
  • NPI 1245309434
  Medicare reassignment

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1619105053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 GUY PARK AVE - PRIMARY & SPECIALTY CARE DEPT.",
            "address_2": "ST. MARY'S HOSPITAL AT AMSTERDAM",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-841-7430",
            "fax_number": "518-841-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 E STATE ST",
            "address_2": "ST. MARY'S HOSPITAL, GLOVERSVILLE FAMILY HEALTH CENTER",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "12078",
            "telephone_number": "518-773-8894",
            "fax_number": "518-773-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNE",
        "first_name": "AMY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335920-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fulton County Mental Health
• Fulton County RHCF Pharmacy
• Fulton Operations Associates LLC
• Fulton Optical Corp
• Gabrielle Ann Gable
• Ernest J Gagnon, MSW & NHA
• Gerianne Galante, LPN
• Patricia Mary Galea, N.P.
• Kara E Gancarz, PHARMD
• Maria M Gardiner, PT

• Family Nurse Practitioner in Gloversville, NY
• Providers in Gloversville, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.