ERICA LYNN GEMMELL APRN
NPI 1164054631
Nurse Practitioner - Family in West Haven, CT

Active since February 12, 2020PECOS EnrolledAccepts Medicare Assignment
90.74/100
CMS Quality Rating
950 CAMPBELL AVE, WEST HAVEN, CT 06516(608) 666-6951(860) 667-6875 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2021, May 27, 2021, Oct 8, 2020 and 1 more (4 updates tracked since 2020).

About Erica Lynn Gemmell Aprn NPPES

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

ERICA LYNN GEMMELL APRN (NPI 1164054631) is an individual family provider in West Haven, Connecticut, licensed in Connecticut (8709) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hamden, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164054631
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERICA LYNN GEMMELLCredential: APRN
Location Address950 CAMPBELL AVEWest Haven, CT 06516-2700
Mailing Address950 Campbell AveWest Haven, CT 06516-2700 · (608) 666-6951
Fax(860) 667-6875
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 12, 2020
Last NPPES UpdateFebruary 27, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2024
NPI 1164054631 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 CT · 8709
950 CAMPBELL AVE, West Haven, CT 06516

Secondary Practice Location 1

Location 12080 Whitney Ave Ste 240Hamden, CT 06518-3603 · Phone (203) 281-6228

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Erica Lynn Gemmell Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416384375
PECOS Enrollment IDI20200305002110
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 06516 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

90.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.27
Promoting Interoperability100
Improvement Activities40
Cost58.92

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
1 supplier15 claims15 services$50.93 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$23.50 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.25 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$11.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
950 CAMPBELL AVE, PHARMACY SERVICE (119)
WEST HAVEN, CT 06516
Psychologist (Clinical)
950 CAMPBELL AVE
WEST HAVEN, CT 06516
Social Worker
950 CAMPBELL AVE
WEST HAVEN, CT 06516
Counselor
950 CAMPBELL AVE, MS 122V
WEST HAVEN, CT 06516
Dietitian, Registered
950 CAMPBELL AVE
WEST HAVEN, CT 06516
Chiropractor
950 CAMPBELL AVE, BUILDING 2, FLOOR 4
WEST HAVEN, CT 06516
Nurse Anesthetist, Certified Registered
950 CAMPBELL AVE
WEST HAVEN, CT 06516
Social Worker (Clinical)
950 CAMPBELL AVE
WEST HAVEN, CT 06516

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 Erica Gemmell's NPI number?

The NPI number for Erica Gemmell is 1164054631. It was assigned to this individual provider in the NPPES registry on February 12, 2020.

Where is Erica Gemmell located?

Erica Gemmell practices at 950 Campbell Ave, West Haven, CT 06516. The listed phone number is (608) 666-6951.

What is Erica Gemmell's specialty?

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

Is Erica Gemmell enrolled in Medicare?

Yes. Erica Gemmell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Erica Gemmell was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.