MS. ERICKA DEADWYLER-GOURGUE NURSE PRACTITIONER
NPI 1689154130
Nurse Practitioner - Adult Health in Brooklyn, NY
About Ms. Ericka Deadwyler-gourgue Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ERICKA DEADWYLER-GOURGUE NURSE PRACTITIONER (NPI 1689154130) is an individual adult health provider in Brooklyn, New York, licensed in New York (308867) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Ericka Deadwyler-gourgue Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Ericka Deadwyler-gourgue reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11226
- Reassigned Medicare billing, New York enrollment
Brooklyn, NY 11201
- Reassigned Medicare billing, New York enrollment
- 980 clinicians in this Medicare group
Rego Park, NY 11374
- Reassigned Medicare billing, New York enrollment
- 22 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 11226 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.
BROOKLYN, NY 11226
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 Ericka Deadwyler-gourgue's NPI number?
The NPI number for Ericka Deadwyler-gourgue is 1689154130. It was assigned to this individual provider in the NPPES registry on August 15, 2018.
Where is Ericka Deadwyler-gourgue located?
Ericka Deadwyler-gourgue practices at 571 E 19th St Apt 6B, Brooklyn, NY 11226. The listed phone number is (929) 378-0430.
What is Ericka Deadwyler-gourgue's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Ericka Deadwyler-gourgue enrolled in Medicare?
Yes. Ericka Deadwyler-gourgue is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ericka Deadwyler-gourgue's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ericka Deadwyler-gourgue reassigns Medicare benefits to 3 organizations: Mindful Care Np In Psychiatry And Np In Adult Health PC (Brooklyn, NY), Weill Medical College Of Cornell (Brooklyn, NY) and Queens Psychiatric & Medical Care P.C. (Rego Park, NY). 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 Ericka Deadwyler-gourgue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ericka Deadwyler-gourgue accept?
Health plans from Oscar Health list Ericka Deadwyler-gourgue as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ericka Deadwyler-gourgue was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Ms. Ericka Deadwyler-Gourgue, NURSE PRACTITIONER · NPI 1689154130
Adult Health physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since August 15, 2018.
## Identity
- **NPI:** 1689154130 (Entity type: Individual)
- **Enumerated:** August 15, 2018
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 308867 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 571 E 19TH ST APT 6B, Brooklyn, NY 11226-7674
- **Phone:** (929) 378-0430
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Mindful Care Np In Psychiatry And Np In Adult Health PC (NPI 1174380141, Brooklyn, NY); Weill Medical College Of Cornell (NPI 1619364957, Brooklyn, NY); Queens Psychiatric & Medical Care P.C. (NPI 1497119846, Rego Park, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689154130) · Data from the CMS NPPES public registry.