KIM P GENDRON FNP
NPI 1053404061
Nurse Practitioner - Family in Schaghticoke, NY
About Kim P Gendron Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIM P GENDRON FNP (NPI 1053404061) is an individual family provider in Schaghticoke, New York, licensed in New York (F331800) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Clifton Park.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kim P Gendron Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12154 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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 Kim Gendron's NPI number?
The NPI number for Kim Gendron is 1053404061. It was assigned to this individual provider in the NPPES registry on October 2, 2006.
Where is Kim Gendron located?
Kim Gendron practices at 19 Blue Jay Cir, Schaghticoke, NY 12154. The listed phone number is (518) 470-2581.
What is Kim Gendron's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kim Gendron enrolled in Medicare?
Yes. Kim Gendron is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kim Gendron was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.