Individual provider Active NPI

Dana Elise Gunn, NP

  • Adult Health Nurse Practitioner
  • Plattsburgh, NY
National Provider Identifier
1720218746
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F305173-1 Issued in NY
Practice address
210 Cornelia St
Suite 306
Plattsburgh, NY 12901-2318
Phone
(518) 561-1122
NPI assigned
Jul 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2009

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 F305173-1 NY Primary

Addresses

Primary practice location

210 Cornelia St
Suite 306
Plattsburgh, NY 12901-2318

Mailing address

6 Eagle Acres Rd
Chazy, NY 12921-1925
Phone (518) 846-7934

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
I20100504000274 NY Practitioner - Nurse Practitioner 7517095011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William Pelton, MD PCGroup PAC ID 8426426263, 3 clinicians

Practice addresses (Care Compare)

164 Boynton Ave
Suite 103
Plattsburgh, NY 12901-1251
Phone (518) 561-1122

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F305173-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William Pelton, MD PC CurrentSince Jul 26, 2022 Accepting new patients
Associates in Radiology of Plattsburgh Ny PC Past Accepting new patients

Locations

164 Boynton Ave
Ste 306
Plattsburgh, NY 12901
Phone (518) 561-1122

164 Boynton Ave
Ste 103
Plattsburgh, NY 12901
Phone (518) 561-1122

Interoperability endpoints

  • Direct secure messaging: dana.gunn.1@24047.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24047/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248393600000",
    "number": "1720218746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EAGLE ACRES RD",
            "city": "CHAZY",
            "state": "NY",
            "postal_code": "129211925",
            "telephone_number": "518-846-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CORNELIA ST",
            "address_2": "SUITE 306",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012318",
            "telephone_number": "518-561-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "DANA",
        "middle_name": "ELISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-24",
        "last_updated": "2009-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305173-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.