MRS. DOREEN GAGNON APRN, BC
NPI 1164562658
Nurse Practitioner - Family in Newark, NJ
About Mrs. Doreen Gagnon Aprn, Bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DOREEN GAGNON APRN, BC (NPI 1164562658) is an individual family provider in Newark, New Jersey, licensed in New Jersey (26NJ00076000) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mrs. Doreen Gagnon Aprn, Bc 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07103 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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Doreen Gagnon's NPI number?
The NPI number for Doreen Gagnon is 1164562658. It was assigned to this individual provider in the NPPES registry on February 7, 2007.
Where is Doreen Gagnon located?
Doreen Gagnon practices at 297 16th Ave, Newark, NJ 07103. The listed phone number is (973) 374-3020.
What is Doreen Gagnon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Doreen Gagnon enrolled in Medicare?
Yes. Doreen Gagnon 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.
What insurance does Doreen Gagnon accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Doreen Gagnon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Doreen Gagnon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mrs. Doreen Gagnon, APRN, BC · NPI 1164562658
Family physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since February 7, 2007.
## Identity
- **NPI:** 1164562658 (Entity type: Individual)
- **Enumerated:** February 7, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ00076000 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 297 16TH AVE, Newark, NJ 07103-1104
- **Phone:** (973) 374-3020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1164562658) · Data from the CMS NPPES public registry.