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MS. ERICKA DEADWYLER-GOURGUE NURSE PRACTITIONER
NPI 1689154130
Nurse Practitioner - Adult Health in Brooklyn, NY

Active since August 15, 2018PECOS Enrolled
571 E 19TH ST APT 6B, BROOKLYN, NY 11226(929) 378-0430 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2025, Nov 9, 2023, Aug 15, 2018 (3 updates tracked since 2018).

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

NPI1689154130
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. ERICKA DEADWYLER-GOURGUECredential: NURSE PRACTITIONER
Location Address571 E 19TH ST APT 6BBrooklyn, NY 11226-7674
Mailing Address571 E 19th St Apt 6bBrooklyn, NY 11226-7674 · (929) 378-0430
Phone(929) 378-0430
Sole ProprietorNo
Enumeration DateAugust 15, 2018
Last NPPES UpdateMarch 12, 20253 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1689154130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 308867
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License F405232 (NY)
571 E 19TH ST APT 6B, Brooklyn, NY 11226
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Medicare Participation & PECOS CMS

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

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).

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 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.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES

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

MINDFUL CARE NP IN PSYCHIATRY AND NP IN ADULT HEALTH PC
Nurse Practitioner (Adult Health)
571 E 19TH ST APT 6B
BROOKLYN, NY 11226
Kings County (929) 322-1924

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.

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 16 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.