ERICA LYNN GEMMELL APRN
NPI 1164054631
Nurse Practitioner - Family in West Haven, CT
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Erica Gemmell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Branford, CT 06405
- Reassigned Medicare billing, Connecticut enrollment
- 156 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
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.
Which organization bills Medicare for Erica Gemmell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erica Gemmell reassigns Medicare benefits to Hhc Physician Services, PLLC (Branford, CT). The 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 Erica Gemmell'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 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.
# Erica Lynn Gemmell, APRN · NPI 1164054631
Family physician in West Haven, Connecticut. Individual provider, active in the CMS NPPES registry since February 12, 2020.
## Identity
- **NPI:** 1164054631 (Entity type: Individual)
- **Enumerated:** February 12, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 8709 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 950 CAMPBELL AVE, West Haven, CT 06516-2700
- **Phone:** (608) 666-6951 · **Fax:** (860) 667-6875
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hhc Physician Services, PLLC (NPI 1609530237, Branford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164054631) · Data from the CMS NPPES public registry.