MISS GINA MARIE KAVANAGH AGACNP
NPI 1396231452
Nurse Practitioner - Acute Care in New York, NY
About Miss Gina Marie Kavanagh Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS GINA MARIE KAVANAGH AGACNP (NPI 1396231452) is an individual acute care provider in New York, New York, licensed in New York (431320) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
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
Miss Gina Marie Kavanagh Agacnp 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 Reassignments
5Medicare enrollment records show Gina Kavanagh reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 482 clinicians in this Medicare group
Montvale, NJ 07645
- Reassigned Medicare billing, New Jersey enrollment
- 401 clinicians in this Medicare group
West Harrison, NY 10604
- Reassigned Medicare billing, New York enrollment
- 328 clinicians in this Medicare group
Middletown, NJ 07748
- Reassigned Medicare billing, New Jersey enrollment
- 464 clinicians in this Medicare group
Basking Ridge, NJ 07920
- Reassigned Medicare billing, New Jersey enrollment
- 385 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.
Areas of Expertise CMS Part B claims 3
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 10065 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10065
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 Gina Kavanagh's NPI number?
The NPI number for Gina Kavanagh is 1396231452. It was assigned to this individual provider in the NPPES registry on July 2, 2018.
Where is Gina Kavanagh located?
Gina Kavanagh practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-2000.
What is Gina Kavanagh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Gina Kavanagh enrolled in Medicare?
Yes. Gina Kavanagh 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 organizations bill Medicare for Gina Kavanagh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gina Kavanagh reassigns Medicare benefits to 5 organizations: Memorial Anesthesiology Group (New York, NY), Msk Bergen (Montvale, NJ), Msk Harrison (West Harrison, NY), Msk Monmouth (Middletown, NJ) and Memorial Sloan Kettering Cancer Center At Basking Ridge New Jersey (Basking Ridge, NJ). Each 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 Gina Kavanagh'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 Gina Kavanagh was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Miss Gina Marie Kavanagh, AGACNP · NPI 1396231452
Acute Care physician in New York, New York. Individual provider, active in the CMS NPPES registry since July 2, 2018.
## Identity
- **NPI:** 1396231452 (Entity type: Individual)
- **Enumerated:** July 2, 2018
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 431320 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1275 YORK AVE, New York, NY 10065-6007
- **Phone:** (212) 639-2000
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Memorial Anesthesiology Group (NPI 1467423020, New York, NY); Msk Bergen (NPI 1558814657, Montvale, NJ); Msk Harrison (NPI 1174923593, West Harrison, NY); Msk Monmouth (NPI 1922459163, Middletown, NJ); Memorial Sloan Kettering Cancer Center At Basking Ridge New Jersey (NPI 1184637886, Basking Ridge, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396231452) · Data from the CMS NPPES public registry.