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.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
La'nae Na Gresham Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show La'nae Gresham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mount Vernon, NY 10550
- Reassigned Medicare billing, New York enrollment
- 108 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 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.
Other Providers at the Same Location NPPES
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 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 enrollment system.
Which organization bills Medicare for La'nae Gresham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), La'nae Gresham reassigns Medicare benefits to Mount Vernon Neighborhood Health Center Inc (Mount Vernon, NY). 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 La'nae Gresham'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 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 in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mount Vernon Neighborhood Health Center Inc (NPI 1295912541, Mount Vernon, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## 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.