Individual provider Active NPI

Rachel Anne Gersh, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1811678345
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F40476901 Issued in NY
Practice address
104 W 40TH St Ste 416
New York, NY 10018-3617
Phone
(888) 753-9107
NPI assigned
Jul 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 76659001 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F40476901 NY Primary

Addresses

Primary practice location

104 W 40TH St Ste 416
New York, NY 10018-3617

Mailing address

345 Beach 143Rd St
Neponsit, NY 11694-1108
Phone (347) 426-8004

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
I20260314000348 NY Practitioner - Nurse Practitioner 4587147871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nyc Psychiatrist Services P.C.Group PAC ID 4385008424, 8 clinicians

Practice addresses (Care Compare)

134 Broadway
Brooklyn, NY 11249-6233
Phone (929) 346-4317

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76659001NYMDRegistered Nurse
F40476901NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nyc Psychiatrist Services P.C. CurrentSince Mar 6, 2026 Accepting new patients

Locations

134 Broadway
Brooklyn, NY 11249
Phone (929) 346-4317

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1811678345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 BEACH 143RD ST",
            "city": "NEPONSIT",
            "state": "NY",
            "postal_code": "116941108",
            "telephone_number": "347-426-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 40TH ST STE 416",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100183617",
            "telephone_number": "888-753-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSH",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "76659001",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F40476901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.