Individual provider Active NPI

Nina C Gaube, FNP

  • Nurse Practitioner
  • Vestal, NY
National Provider Identifier
1659719409
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
33338047 Issued in NY
Practice address
2220 Vestal Pkwy E
Vestal, NY 13850-1947
Phone
(607) 306-7546
Fax
(607) 821-7848
NPI assigned
Jun 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 33338047 NY Primary

Addresses

Primary practice location

2220 Vestal Pkwy E
Vestal, NY 13850-1947

Mailing address

2220 Vestal Pkwy E
Vestal, NY 13850-1947
Phone (607) 306-7546

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
I20130926000205 NY Practitioner - Nurse Practitioner 3476797796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broome Family Nurse Practitioners PCGroup PAC ID 0648504274, 5 clinicians

Practice addresses (Care Compare)

161 Riverside Dr
Suite M05
Binghamton, NY 13905-4112
Phone (607) 798-5442

2220 Vestal Pkwy
FL 2
Vestal, NY 13850-1947
Phone (607) 306-7546

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33338047NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Lourdes Memorial Hospital, Inc. Nurse Practitioner CurrentSince Dec 20, 2015 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Dec 20, 2015 Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. Current Accepting new patients
Broome Family Nurse Practitioners PC CurrentSince Mar 3, 2026 Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

161 Riverside Dr
Ste M05
Binghamton, NY 13905
Phone (607) 770-7074

161 Riverside Dr
Ste 210
Binghamton, NY 13905
Phone (607) 770-1155

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

2220 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 235-2662

2220 Vestal Pkwy
#2
Vestal, NY 13850
Phone (607) 306-7546

Interoperability endpoints

  • Direct secure messaging: ngaube196736@direct-guthrie.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1659719409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 VESTAL PKWY E",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501947",
            "telephone_number": "607-306-7546",
            "fax_number": "607-821-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 VESTAL PKWY E",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501947",
            "telephone_number": "607-306-7546",
            "fax_number": "607-821-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUBE",
        "first_name": "NINA",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "33338047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestal, NY

Sources for this page

Verify at the official NPI Registry.