MRS. AMY LEE GAGNE FNP
NPI 1619105053
Nurse Practitioner - Family in Gloversville, NY

Active since June 24, 2009PECOS Enrolled
84 E STATE ST, ST. MARY'S HOSPITAL, GLOVERSVILLE FAMILY HEALTH CENTER, GLOVERSVILLE, NY 12078(518) 773-8894(518) 773-8125 Get Directions Write a Review

NPPES record last updated: September 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Amy Lee Gagne Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AMY LEE GAGNE FNP (NPI 1619105053) is an individual family provider in Gloversville, New York, licensed in New York (F335920-1) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619105053
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. AMY LEE GAGNECredential: FNP
Location Address84 E STATE ST, ST. MARY'S HOSPITAL, GLOVERSVILLE FAMILY HEALTH CENTERGloversville, NY 12078
Mailing Address427 Guy Park Ave - Primary & Specialty Care Dept., St. Mary's Hospital At AmsterdamAmsterdam, NY 12010 · (518) 841-7430 · Fax (518) 841-7121
Fax(518) 773-8125
Sole ProprietorNo
Enumeration DateJune 24, 2009
Last NPPES UpdateSeptember 21, 2010
NPI 1619105053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F335920-1
84 E STATE ST, Gloversville, NY 12078

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Amy Lee Gagne Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12078 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier64 claims1,924 services$7.28 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims4,446 services$0.47 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier46 claims18,507 services$0.35 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier18 claims8,535 services$1.41 avg. paid by Medicare
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit B4155
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims600 services$0.75 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier13 claims13 services$54.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Vascular Surgery)
84 E STATE ST
GLOVERSVILLE, NY 12078
Nurse Practitioner (Family)
84 E STATE ST
GLOVERSVILLE, NY 12078

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 Amy Gagne's NPI number?

The NPI number for Amy Gagne is 1619105053. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Where is Amy Gagne located?

Amy Gagne practices at 84 E State St St. Mary's Hospital, Gloversville Family Health Center, Gloversville, NY 12078. The listed phone number is (518) 773-8894.

What is Amy Gagne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amy Gagne enrolled in Medicare?

Yes. Amy Gagne is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Gagne was last updated on September 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.