DENISE K GAFANHAO N.P.
NPI 1912035650
Nurse Practitioner in Salem, MA

Active since March 02, 2007PECOS EnrolledAccepts Medicare Assignment
55 HIGHLAND AVE STE 304, SALEM, MA 01970(978) 354-4611(978) 354-4651 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Denise K Gafanhao N.p. NPPES

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

DENISE K GAFANHAO N.P. (NPI 1912035650) is an individual nurse practitioner in Salem, Massachusetts, licensed in Massachusetts (195002) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1912035650
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDENISE K GAFANHAOCredential: N.P.
Location Address55 HIGHLAND AVE STE 304Salem, MA 01970-2100
Mailing Address55 Highland Ave Ste 304Salem, MA 01970-2100 · (978) 354-4611 · Fax (978) 354-4651
Fax(978) 354-4651
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMarch 2, 2007
Last NPPES UpdateJanuary 20, 2021
NPPES CertifiedJanuary 20, 2021
NPI 1912035650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MA · 195002
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
55 HIGHLAND AVE STE 304, Salem, MA 01970

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Denise K Gafanhao N.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284716978
PECOS Enrollment IDI20080204000339
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
627 services194 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
215 services92 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
153 services144 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01970 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 12

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

Nurse Practitioner (Family)
55 HIGHLAND AVE STE 304
SALEM, MA 01970
Internal Medicine
55 HIGHLAND AVE STE 304
SALEM, MA 01970
Nurse Practitioner (Primary Care)
55 HIGHLAND AVE STE 304
SALEM, MA 01970
Nurse Practitioner (Family)
55 HIGHLAND AVE STE 304
SALEM, MA 01970
Nurse Practitioner (Adult Health)
55 HIGHLAND AVE STE 304
SALEM, MA 01970
Family Medicine
55 HIGHLAND AVE STE 304
SALEM, MA 01970
Internal Medicine
55 HIGHLAND AVE STE 304
SALEM, MA 01970
Nurse Practitioner (Family)
55 HIGHLAND AVE STE 304
SALEM, MA 01970

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 Denise Gafanhao's NPI number?

The NPI number for Denise Gafanhao is 1912035650. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Denise Gafanhao located?

Denise Gafanhao practices at 55 Highland Ave Ste 304, Salem, MA 01970. The listed phone number is (978) 354-4611.

What is Denise Gafanhao's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Denise Gafanhao enrolled in Medicare?

Yes. Denise Gafanhao is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Denise Gafanhao was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.