Individual provider Active NPI

Elizabeth Gattman, NP

  • Primary Care Nurse Practitioner
  • Jamestown, NY
National Provider Identifier
1831620152
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
341949 Issued in NY
Practice address
320 Prather Ave Ste 200a
Jamestown, NY 14701-6858
Phone
(716) 664-7855
Fax
(716) 847-2715
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 341949 NY
Primary Care Nurse Practitioner 363LP2300X 341949 NY Primary

Addresses

Primary practice location

320 Prather Ave Ste 200a
Jamestown, NY 14701-6858

Mailing address

320 Prather Ave Ste 200a
Jamestown, NY 14701-6858
Phone (716) 664-7855

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
I20170828001075 NY Practitioner - Nurse Practitioner 2163794009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ehs, IncGroup PAC ID 7618946310, 41 clinicians

Practice addresses (Care Compare)

320 Prather Ave
Jamestown, NY 14701-6820
Phone (716) 664-7855

Hospital & facility affiliations

  • Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
341949NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ehs, Inc. CurrentSince Jul 6, 2021 Accepting new patients
Catholic Charities of Buffalo PastSince Jul 17, 2017 Accepting new patients

Locations

206 S Elmwood Ave
Buffalo, NY 14201
Phone (716) 847-0212

320 Prather Ave
Jamestown, NY 14701
Phone (716) 488-0776

320 Prather Ave
Ste 200A
Jamestown, NY 14701
Phone (716) 664-7855

320 Prather Ave
Ste 100
Jamestown, NY 14701
Phone (716) 338-0022

Interoperability endpoints

  • Direct secure messaging: egattman@evergreenhs.medentdirect.com
  • FHIR API: https://fhir.medent.com/fhir/R4/Afh8w83p/

Organizations & group practices 2

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 2

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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1831620152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PRATHER AVE STE 200A",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016858",
            "telephone_number": "716-664-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PRATHER AVE STE 200A",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016858",
            "telephone_number": "716-664-7855",
            "fax_number": "716-847-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATTMAN",
        "first_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341949",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "341949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.