AMY GENSALE FNP-BC, NP-C
NPI 1750891479
Nurse Practitioner - Family in Lawrence, MA
NPI Status: Active since October 08, 2017
Contact Information
360 MERRIMACK ST
LAWRENCE, MA
ZIP 01843
Phone: (978) 557-8800
- Individual
- Female
- Years of Experience 9
- Nurse Practitioner
- Family
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About AMY GENSALE
This page provides the complete NPI Profile along with additional information for Amy Gensale, a provider established in Lawrence, Massachusetts with a medical specialization in Nurse Practitioner, focusing in family and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1750891479 assigned on October 2017. The practitioner's primary taxonomy code is 363LF0000X with license number RN280526 (MA). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1750891479
- Provider Name
- AMY GENSALE FNP-BC, NP-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 360 MERRIMACK ST LAWRENCE, MA 01843
- Location Phone
- (978) 557-8800
- Mailing Address
- 18 OLD COUNTY RD PELHAM, NH 03076
- Mailing Phone
- (412) 953-6771
- Medical School Name
- OTHER
- Graduation Year
- 2017
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-08-2017
- Last Update Date
- 10-08-2017
- Code Navigator
A nurse practitioner (NP) like Amy Gensale is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- RN280526
- License State
- MA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred Blue PPO 5000/10%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 5000/20%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 6500/30%/9200 Value - PPO
- Anthem Bronze Preferred Blue PPO 7000/50%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 8500/50%/9200 - PPO
- Anthem Gold Preferred Blue PPO 1000/20%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/0%/6500 RxD - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/20%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 3000/0%/5500 RxD - PPO
- Anthem Gold Preferred Blue PPO 500/25%/7000 - PPO
- Anthem Platinum Preferred Blue PPO 250/10%/3500 - PPO
- Anthem Silver Preferred Blue PPO 2000/30%/9000 Value - PPO
- Anthem Silver Preferred Blue PPO 3000/20%/8500 - PPO
- Anthem Silver Preferred Blue PPO 3000/30%/9000 Value - PPO
- Anthem Silver Preferred Blue PPO 3500/20%/7250 w/HSA - PPO
- Anthem Silver Preferred Blue PPO 4000/0%/8500 - PPO
- Anthem Silver Preferred Blue PPO 4000/0%/8500 RxD - PPO
- Anthem Silver Preferred Blue PPO 4000/10%/7250 w/HSA - PPO
- Anthem Bronze Pathway X Enhanced 6000/35% HSA - HMO
- Anthem Bronze Pathway X Enhanced 6500/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Catastrophic Pathway X Enhanced 9200/0% - HMO
- Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Gold Pathway X Enhanced 1500/25% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Gold Pathway X Enhanced 700/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway X Enhanced 6000/30% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X Enhanced 4000/0% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway X Enhanced 4500/20% HSA - HMO
- Anthem Silver Pathway X Enhanced 5000/40% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Silver Pathway X Enhanced 5500/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Bronze Pathway X HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 6500/30%/9200 Value - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Amy Gensale is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Amy Gensale is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 941560536
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20180130000811
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc
Detection test by nucleic acid for multiple types influenza virus
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Injection, bebtelovimab, 175 mg
Intravenous injection, bebtelovimab, includes injection and post administration monitoring
New patient office or other outpatient visit, 30-44 minutes
This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.
This service was performed 11 times for 11 patientsA detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
This service was performed 14 times for 14 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 22 times for 22 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 35 times for 34 patientsBebtelovimab is a medication given via injection to treat specific viral infections. The 175 mg dosage is administered by a healthcare professional. It works by helping your body's immune system fight off the virus.
This service was performed 48 times for 48 patientsIntravenous injection of Bebtelovimab involves injecting this medication into your vein. It's used to treat specific health conditions. After the injection, your health status will be closely monitored to ensure the medication is working effectively and to check for any side effects.
This service was performed 49 times for 49 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 15 times for 15 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.67 for a new patient copayment and $25.87 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 01843 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.7
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.67
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $103.48
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $25.87
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Amy Gensale is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| NORTH SHORE MEDICAL CENTER - | 81 HIGHLAND AVENUE SALEM, MA 01970 | (978) 741-1215 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 8 | 9 | 1 | 4 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 16 | 9 | 2 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 6 + 9 + 2 + 4 + 1 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1750891479 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NORTHERN ESSEX WOMEN'S HEALTH, PC
Obstetrics & Gynecology
360 MERRIMACK ST
ENTRANCE G
LAWRENCE, MA
ZIP 01843
PHYLLIS-ANN MORRISSEY LICSW
Social Worker
(Clinical)
360 MERRIMACK ST
SUITE 300
LAWRENCE, MA
ZIP 01843
MS. PATRICIA LOUISE PALERMO FNP-C
Nurse Practitioner
(Family)
360 MERRIMACK ST
BUILDING #9
LAWRENCE, MA
ZIP 01843
MS. STACEY LYNNE TRULL
Counselor
(Mental Health)
360 MERRIMACK ST
LAWRENCE, MA
ZIP 01843
JANET LOUISE TAYLOR PT
Physical Therapist
360 MERRIMACK ST
LAWRENCE, MA
ZIP 01843
DEBORAH ANN CANEJO LMT
Naturopath
360 MERRIMACK ST
SUITE 3
LAWRENCE, MA
ZIP 01843
MR. JOSEPH KENNETH JONES R.N.
Registered Nurse
360 MERRIMACK ST
3RD FLOOR, BLDG 9
LAWRENCE, MA
ZIP 01843
ANN STAUBLE LICSW
Social Worker
(Clinical)
360 MERRIMACK ST
MERRIMACK VALLEY HOSPICE
LAWRENCE, MA
ZIP 01843
JULIE MARIE LITTLEFIELD LICSW
Social Worker
(Clinical)
360 MERRIMACK ST
LAWRENCE, MA
ZIP 01843
CHRISTA LIVINGSTONE LICSW
Social Worker
(Clinical)
360 MERRIMACK ST
LAWRENCE, MA
ZIP 01843
NANCY L. KIDD LICSW
Social Worker
(Clinical)
360 MERRIMACK ST
LAWRENCE, MA
ZIP 01843
MS. MARTHA MCCLURE PT
Physical Therapist
360 MERRIMACK ST
BLDG. 9
LAWRENCE, MA
ZIP 01843
MRS. MELISSA MARIE NICKESRON OTR/L
Occupational Therapist
360 MERRIMACK ST
BLDG 9
LAWRENCE, MA
ZIP 01843
MARY K BAKER PT
Physical Therapist
360 MERRIMACK ST
BUILDING 9
LAWRENCE, MA
ZIP 01843
DEXTER FALL SWASEY OT
Occupational Therapist
360 MERRIMACK ST
BUILDING 9
LAWRENCE, MA
ZIP 01843
MRS. MARY DOLORES CARLSON M.ED
Speech-Language Pathologist
360 MERRIMACK ST
LAWRENCE, MA
ZIP 01843
DIANA MARCINEK DIGNAM PT
Physical Therapist
360 MERRIMACK ST
LAWRENCE, MA
ZIP 01843
MR. ROBERT M KOWALIK M.DIV.
Counselor
(Mental Health)
360 MERRIMACK ST
BUILDING 9, ENTRY J, 3RD FLOOR
LAWRENCE, MA
ZIP 01843
ADRIANNE KIEHLE DEOROCKI OT
Occupational Therapist
360 MERRIMACK ST
LAWRENCE, MA
ZIP 01843
MRS. REBECCA ANN VINCENT LMHC
Counselor
(Mental Health)
360 MERRIMACK ST
LAWRENCE, MA
ZIP 01843
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750891479, enumerated as an "individual" on October 08, 2017.
The provider is located at 360 MERRIMACK ST LAWRENCE, MA 01843 and the phone number is (978) 557-8800.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld and Anthem Blue. Please consult your insurance carrier or call the provider to verify.
Amy Gensale is affiliated with: NORTH SHORE MEDICAL CENTER -.
