LA'NAE NA GRESHAM FNP
NPI 1215707179
Nurse Practitioner - Family in Teaneck, NJ
About La'nae Na Gresham Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LA'NAE NA GRESHAM FNP (NPI 1215707179) is an individual family provider in Teaneck, New Jersey, licensed in New York (F351612) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
La'nae Na Gresham Fnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07666 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 La'nae Gresham's NPI number?
The NPI number for La'nae Gresham is 1215707179. It was assigned to this individual provider in the NPPES registry on January 3, 2024.
Where is La'nae Gresham located?
La'nae Gresham practices at 1485 Buffett Ter, Teaneck, NJ 07666. The listed phone number is (917) 744-4052.
What is La'nae Gresham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is La'nae Gresham enrolled in Medicare?
Yes. La'nae Gresham 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 La'nae Gresham was last updated on January 3, 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.
# La'nae Na Gresham, FNP · NPI 1215707179
Family physician in Teaneck, New Jersey. Individual provider, active in the CMS NPPES registry since January 3, 2024.
## Identity
- **NPI:** 1215707179 (Entity type: Individual)
- **Enumerated:** January 3, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F351612 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1485 BUFFETT TER, Teaneck, NJ 07666-6027
- **Phone:** (917) 744-4052
## 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 2023
## Record status
- **NPPES last updated:** January 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1215707179) · Data from the CMS NPPES public registry.