Active NPI
Lauren E Gush, PA-C
- Physician Assistant
- Gansevoort, NY
National Provider Identifier
1720410046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 017102
- Practice address
- 1299 Route 9
Gansevoort, NY 12831-1560 - Phone
- (518) 761-6961
- Fax
- (518) 761-1006
- NPI assigned
- Aug 9, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 017102 | NY | Primary |
Addresses
Primary practice location
1299 Route 9
Gansevoort, NY 12831-1560
Mailing address
9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03051585 | Medicaid | NY |
Other names 1
- Lauren E Dinsmore
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lauren.gush.1@1823.direct.athenahealth.com |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141216001118 | NY | Practitioner - Physician Assistant | 3173846508 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1299 Route 9
Gansevoort, NY 12831-1560
Phone (518) 761-6961
24 Fairfield Ave
Schroon Lake, NY 12870-0292
Phone (518) 532-7120
Hospital & facility affiliations
- Vna Home Health
- Glens Falls Hospital
- Albany Medical Center Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Headwaters Health Network | Physician Assistant | Current | Accepting new patients |
| Hudson Headwaters Health Network | Physician Assistant | Current | Accepting new patients |
| Hudson Headwaters Health Network | Past | Accepting new patients |
Locations
1299 Route 9
Gansevoort, NY 12831
Phone (518) 761-6961
9 Carey Rd
Queensbury, NY 12804
161 Carey Rd
Queensbury, NY 12804
Phone (518) 480-0011
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.
-
- Primary Care Clinic/Center
- Gansevoort, NY
- NPI 1356355952
Physician Assistant
-
- Primary Care Clinic/Center
- Salem, NY
- NPI 1982417119
Physician Assistant
-
- Primary Care Clinic/Center
- Champlain, NY
- NPI 1245285170
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Niskayana, NY
- NPI 1154973071
Hospital
-
- Home Health Agency
- Albany, NY
- NPI 1295703551
-
- Home Health Agency
- Albany, NY
- NPI 1992700165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767139200000",
"number": "1720410046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 CAREY RD",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128047880",
"telephone_number": "518-761-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 ROUTE 9",
"city": "GANSEVOORT",
"state": "NY",
"postal_code": "128311560",
"telephone_number": "518-761-6961",
"fax_number": "518-761-1006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUSH",
"first_name": "LAUREN",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-09",
"last_updated": "2025-12-31",
"certification_date": "2025-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "017102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03051585",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lauren.gush.1@1823.direct.athenahealth.com",
"affiliation": "N",
"address_1": "1299 Route 9",
"city": "Gansevoort",
"state": "NY",
"country_code": "US",
"postal_code": "128311560",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "DINSMORE",
"middle_name": "E",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Gansevoort, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.