Jacqueline Gamils, NP
Individual provider Active NPI Adult Health Nurse Practitioner · West Harrison, NY
NPI 1760623805 · NPPES record last updated Aug 12, 2025
Key facts
- NPI
- 1760623805
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- F305019 (NY)
- Practice address
- 500 Westchester Ave
West Harrison, NY 10604-3200 - Phone
- (914) 367-7000
- Fax
- (914) 298-2520
- NPI assigned
- Mar 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- MSK Bergen
MSK Harrison
Practice addresses (Care Compare)
225 Summit Ave
Montvale, NJ 07645-1523
Phone (908) 542-3336
500 Westchester Ave
West Harrison, NY 10604-3200
Phone (212) 639-2000
Hospital & facility affiliations
- Memorial Hospital for Cancer and Allied Diseases
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 74.7
- Improvement activities
- 40
- Cost
- 69.14
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.37 of 100
- Quality
- 71.5
- Improvement activities
- 40
- Cost
- 70.5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090630000278 | NY | Practitioner - Nurse Practitioner | 4688725815 | Reassigns benefits to 2 organizations |
| I20200603000919 | NJ | Practitioner - Nurse Practitioner | 4688725815 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F305019 | NY | MD | Adult Health Nurse Practitioner |
| F305019-01 | NY | MD | Adult Health Nurse Practitioner |
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSK Harrison | Current |
Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current |
Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current |
Accepting new patients | |
| Westchester Medical Center | Past | Accepting new patients |
Locations
19 Bradhurst Ave
Ste 2100N
Hawthorne, NY 10532
Phone (914) 493-8375
19 Bradhurst Ave
Ste 2300N
Hawthorne, NY 10532
Phone (914) 246-6600
19 Bradhurst Ave
Ste 2575S
Hawthorne, NY 10532
Phone (914) 246-6600
117 Marys Ave
Ste 102
Kingston, NY 12401
Phone (845) 338-5555
633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000
19 Baker Ave
Ste 101
Poughkeepsie, NY 12601
Phone (845) 483-5000
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
500 Westchester Ave
West Harrison, NY 10604
Phone (914) 367-7000
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F305019-01 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | F305019 | NY | Yes |
Addresses
Primary practice location
500 Westchester Ave
West Harrison, NY 10604-3200
Mailing address
46 Gedney Cir
White Plains, NY 10605-3403
Phone (201) 694-8552
Other providers in West Harrison, NY
- Noreen Elgina Bantican Famy
- Michele Foley
- Mazen Rafic Fouany
- Tara A Frampton
- Wendy A Galayda
- Jennifer Yawei Ge
- Jinny Franze Gerstle
- Carol Giacobbe
- Lena Rosa Giacomo
- Philip Gilbo
All providers in West Harrison, NY · Adult Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.