GAGNE BEHAVIORAL HEALTH CARE PA
NPI 1720447659
Nurse Practitioner - Psychiatric/Mental Health in Rock Hill, SC

Active since February 20, 2016
331 E MAIN ST STE 200, ROCK HILL, SC 29730(704) 438-0687 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 22, 2021, Feb 20, 2016 (2 updates tracked since 2016).

About Gagne Behavioral Health Care Pa NPPES

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

GAGNE BEHAVIORAL HEALTH CARE PA (NPI 1720447659) is a healthcare organization registered as a psychiatric/mental health in Rock Hill, South Carolina and active in the NPI registry since February 2016. The organization maintains a secondary practice location in Charlotte and lists Kelli P Gagne, Aprn, as its authorized official.

NPPES Registry Identity

NPI1720447659
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameGAGNE BEHAVIORAL HEALTH CARE PA
Location Address331 E MAIN ST STE 200Rock Hill, SC 29730-5371
Mailing Address331 E Main St Ste 200Rock Hill, SC 29730-5371 · (704) 438-0687
Organization SubpartNo
Authorized OfficialKelli P GagneAprn · (704) 438-0687
Enumeration DateFebruary 20, 2016
Last NPPES UpdateNovember 22, 20212 updates tracked since enumeration
NPPES CertifiedNovember 22, 2021
✔ NPI 1720447659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in SC · 20033
331 E MAIN ST STE 200, Rock Hill, SC 29730

Secondary Practice Location 1

Location 16000 Fairview Rd Ste 1200Charlotte, NC 28210-2252 · Phone (704) 438-0687 · Fax (844) 591-0104

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gagne Behavioral Health Care Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gagne Behavioral Health Care PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1861775264
331 E MAIN ST STE 200
Rock Hill, SC 29730
(704) 438-0687
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Gagne Behavioral Health Care PA's NPI number?

The NPI number for Gagne Behavioral Health Care PA is 1720447659. It was assigned to this organization in the NPPES registry on February 20, 2016.

Where is Gagne Behavioral Health Care PA located?

Gagne Behavioral Health Care PA is located at 331 E Main St Ste 200, Rock Hill, SC 29730. The listed phone number is (704) 438-0687.

What is Gagne Behavioral Health Care PA's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Gagne Behavioral Health Care PA enrolled in Medicare?

Yes. Gagne Behavioral Health Care PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gagne Behavioral Health Care PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Gagne Behavioral Health Care PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Gagne Behavioral Health Care PA accept?

Health plans from BlueCross BlueShield of South Carolina list Gagne Behavioral Health Care PA 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 Gagne Behavioral Health Care PA was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.