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COURTNEY GAVIGAN FNP
NPI 1003587312
Nurse Practitioner - Family in Kingston, NY

Active since September 26, 2021PECOS Enrolled
396 BROADWAY, KINGSTON, NY 12401(845) 331-3131 Get Directions Write a Review

NPPES record last updated: September 26, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Courtney Gavigan Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY GAVIGAN FNP (NPI 1003587312) is an individual family provider in Kingston, New York, licensed in New York (1521377) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003587312
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOURTNEY GAVIGANCredential: FNP
Location Address396 BROADWAYKingston, NY 12401-4626
Mailing Address396 BroadwayKingston, NY 12401-4626
Phone(845) 331-3131
Sole ProprietorNo
Enumeration DateSeptember 26, 2021
NPPES CertifiedSeptember 26, 2021
✔ NPI 1003587312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 1521377
396 BROADWAY, Kingston, NY 12401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Gavigan Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Courtney Gavigan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physicians Medical Associates New York PC
15 mi
Emergency Medicine
241 NORTH RD
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 235 clinicians in this Medicare group
NPI 1487409702 (845) 483-5000
Albany Medical College
51 mi
Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 clinicians in this Medicare group
NPI 1497921688 (518) 262-9600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
151 services144 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
78 services77 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK KI-CHEONG LAM MD
Emergency Medicine
396 BROADWAY
KINGSTON, NY 12401
Ulster County (845) 334-2890
PHYSICIAN AT NEWBURGH
Clinic/Center (Multi-Specialty)
396 BROADWAY
KINGSTON, NY 12401
Ulster County (845) 331-3131
JAN FELTOWICZ DO
Emergency Medicine
396 BROADWAY
KINGSTON, NY 12401
Ulster County (845) 334-2890
ROBERT GREENBLATT MD
Emergency Medicine
396 BROADWAY
KINGSTON, NY 12401
Ulster County (845) 331-3131
ABUL B KHUDA MD
Internal Medicine
396 BROADWAY, MID HUDSON PHYSICIANS, PC
KINGSTON, NY 12401
Ulster County (845) 331-3131
MS. DONNA M MARSELLA I CNM, CFNP
Registered Nurse (Obstetric, Inpatient)
396 BROADWAY
KINGSTON, NY 12401
Ulster County (845) 331-3131
MRS. ASHLEE QUILL MCGAHAN FNP
Nurse Practitioner
396 BROADWAY
KINGSTON, NY 12401
Ulster County (845) 331-3131
HOWARD S. ADLER PA-C
Physician Assistant
396 BROADWAY
KINGSTON, NY 12401
Ulster County (845) 334-2890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Gavigan's NPI number?

The NPI number for Courtney Gavigan is 1003587312. It was assigned to this individual provider in the NPPES registry on September 26, 2021.

Where is Courtney Gavigan located?

Courtney Gavigan practices at 396 Broadway, Kingston, NY 12401. The listed phone number is (845) 331-3131.

What is Courtney Gavigan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Courtney Gavigan enrolled in Medicare?

Yes. Courtney Gavigan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Courtney Gavigan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Gavigan reassigns Medicare benefits to 2 organizations: Physicians Medical Associates New York PC (Poughkeepsie, NY) and Albany Medical College (Albany, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Courtney Gavigan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Courtney Gavigan was last updated on September 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.