GENTRY NURSE PRACTITIONER IN FAMILY HEALTH
NPI 1225825110
Nurse Practitioner - Family in King Ferry, NY
About Gentry Nurse Practitioner In Family Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GENTRY NURSE PRACTITIONER IN FAMILY HEALTH (NPI 1225825110) is a healthcare organization registered as a family in King Ferry, New York and active in the NPI registry since April 2025. The organization maintains a secondary practice location in New York and lists Donnie Gentry, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gentry Nurse Practitioner In Family Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Gentry Nurse Practitioner In Family Health, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Gentry Nurse Practitioner In Family Health's NPI number?
The NPI number for Gentry Nurse Practitioner In Family Health is 1225825110. It was assigned to this organization in the NPPES registry on April 23, 2025.
Where is Gentry Nurse Practitioner In Family Health located?
Gentry Nurse Practitioner In Family Health is located at 968 Deer Trail Rd S, King Ferry, NY 13081. The listed phone number is (315) 767-3717.
What is Gentry Nurse Practitioner In Family Health's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Gentry Nurse Practitioner In Family Health enrolled in Medicare?
Yes. Gentry Nurse Practitioner In Family Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gentry Nurse Practitioner In Family Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Gentry Nurse Practitioner In Family Health. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Gentry Nurse Practitioner In Family Health was last updated on April 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Gentry Nurse Practitioner In Family Health · NPI 1225825110
Family organization in King Ferry, New York. Organization record, active in the CMS NPPES registry since April 23, 2025.
## Identity
- **NPI:** 1225825110 (Entity type: Organization)
- **Enumerated:** April 23, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Donnie Gentry, OWNER
## Practice location
- **Address:** 968 DEER TRAIL RD S, King Ferry, NY 13081-8712
- **Phone:** (315) 767-3717
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1225825110) · Data from the CMS NPPES public registry.