KIM P GENDRON FNP
NPI 1053404061
Nurse Practitioner - Family in Schaghticoke, NY

Active since October 02, 2006PECOS Enrolled
19 BLUE JAY CIR, SCHAGHTICOKE, NY 12154(518) 470-2581(518) 328-8370 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2026, Apr 11, 2023, Feb 11, 2022 and 4 more (7 updates tracked since 2016).

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

NPI1053404061
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIM P GENDRONCredential: FNP
Location Address19 BLUE JAY CIRSchaghticoke, NY 12154-2950
Mailing Address19 Blue Jay CirSchaghticoke, NY 12154-2950 · (518) 470-2581 · Fax (518) 328-8370
Fax(518) 328-8370
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateMay 6, 20267 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
NPI 1053404061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F331800
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License F401277 (NY)
19 BLUE JAY CIR, Schaghticoke, NY 12154

Secondary Practice Location 1

Location 14 Emma Ln Ste 402Clifton Park, NY 12065-3705 · Phone (518) 901-7838 · Fax (518) 901-7838

Other Identifiers 2

Medicaid02327719NY
OtherP00466853NY · Rr Medicare

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).

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.

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.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
16%44 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
8%25 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%1,714 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%81 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
38%120 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
49%37 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
58%120 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
48%120 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
8%120 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.