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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: October 25, 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
Phone(518) 773-8894
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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Amy Gagne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nysarc Inc Fulton County Chapter
3.4 mi
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
465 N. PERRY ST.
Johnstown, NY 12095
  • Reassigned Medicare billing, New York enrollment
  • 28 clinicians in this Medicare group
NPI 1245309434 (518) 762-0024
Community Health Resources, Inc.
116 mi
Mental Health (Including Community Mental Health Center)
2 WATERSIDE XING STE 401
Windsor, CT 06095
  • Reassigned Medicare billing, Connecticut enrollment
  • 227 clinicians in this Medicare group
NPI 1215979810 (860) 731-5522

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 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 3

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

COMMUNITY CARE PHYSICIANS, PC
Surgery (Vascular Surgery)
84 E STATE ST
GLOVERSVILLE, NY 12078
Fulton County (518) 640-6752
NICHOLE D SANTIAGO FNP
Nurse Practitioner (Family)
84 E STATE ST
GLOVERSVILLE, NY 12078
Fulton County (518) 773-8894
MS. HANNAH STACK
General Practice
84 E STATE ST
GLOVERSVILLE, NY 12078
Fulton County (518) 773-8894

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.

Which organizations bill Medicare for Amy Gagne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Gagne reassigns Medicare benefits to 2 organizations: Nysarc Inc Fulton County Chapter (Johnstown, NY) and Community Health Resources, Inc. (Windsor, CT). 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 Amy Gagne'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 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 16 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.