MRS. GEMMA C KAUNERT CRNP, MSN
NPI 1962697482
Nurse Practitioner - Family in New York, NY

Active since September 07, 2007PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
169 MADISON AVE STE 2817, NEW YORK, NY 10016(888) 553-2823 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 11, 2024, Jan 31, 2023, Dec 29, 2015 (3 updates tracked since 2015).

About Mrs. Gemma C Kaunert Crnp, Msn NPPES

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

MRS. GEMMA C KAUNERT CRNP, MSN (NPI 1962697482) is an individual family provider in New York, New York, licensed in New York (348092) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Pittsburgh School Of Medicine (1991).

NPPES Registry Identity

NPI1962697482
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. GEMMA C KAUNERTCredential: CRNP, MSN
Location Address169 MADISON AVE STE 2817New York, NY 10016-5101
Mailing Address333 Commerce St, Suite 700Nashville, TN 37201-1826 · (615) 454-9850 · Fax (888) 972-4927
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1991
Enumeration DateSeptember 7, 2007
Last NPPES UpdateJune 11, 20243 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1962697482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NY · 348092✔ Licensed in PA · VP001855B✔ Licensed in OH · APRN.CNP.0031124
169 MADISON AVE STE 2817, New York, NY 10016

Secondary Practice Locations 2

Location 1333 Commerce St, Suite 700Nashville, TN 37201-1826 · Phone (615) 454-9850 · Fax (888) 972-4927
Location 2600 Superior Ave ECleveland, OH 44114-2614 · Phone (888) 553-2823

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Gemma C Kaunert Crnp, Msn 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 ID2163725573
PECOS Enrollment IDI20160119001705
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Gemma Kaunert reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
169 MADISON AVE STE 2817
New York, NY 10016
  • Reassigned Medicare billing, Nebraska, Ohio and Texas enrollments
  • 19 clinicians in this Medicare group
Clinical
20 ROBERT PITT DR, UNIT 209
Monsey, NY 10952
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 160 clinicians in this Medicare group
Geriatric Medicine
2395 LANCASTER PIKE FL 1
Reading, PA 19607
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 137 clinicians in this Medicare group
Psychiatry
300 WINDMILL RD
Sinking Springs, PA 19608
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 166 clinicians in this Medicare group
Clinical
600 N 2ND ST STE 401
Harrisburg, PA 17101
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 66 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.

Areas of Expertise CMS Part B claims 12

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
653 services340 patients
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484
Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.
437 services174 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
122 services122 patients
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
50 services13 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
39 services36 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
31 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.03
Improvement Activities40
Cost67.97

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
1 supplier11 claims11 services$7.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Family)
169 MADISON AVE STE 2817
NEW YORK, NY 10016
Nurse Practitioner (Family)
169 MADISON AVE STE 2817
NEW YORK, NY 10016
Nurse Practitioner
169 MADISON AVE STE 2817
NEW YORK, NY 10016
Nurse Practitioner (Acute Care)
169 MADISON AVE STE 2817
NEW YORK, NY 10016
Family Medicine
169 MADISON AVE STE 2817
NEW YORK, NY 10016
Nurse Practitioner (Family)
169 MADISON AVE STE 2817
NEW YORK, NY 10016
Internal Medicine
169 MADISON AVE STE 2817
NEW YORK, NY 10016
Nurse Practitioner (Family)
169 MADISON AVE STE 2817
NEW YORK, NY 10016

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 Gemma Kaunert's NPI number?

The NPI number for Gemma Kaunert is 1962697482. It was assigned to this individual provider in the NPPES registry on September 7, 2007.

Where is Gemma Kaunert located?

Gemma Kaunert practices at 169 Madison Ave Ste 2817, New York, NY 10016. The listed phone number is (888) 553-2823.

What is Gemma Kaunert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gemma Kaunert enrolled in Medicare?

Yes. Gemma Kaunert 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.

Which organizations bill Medicare for Gemma Kaunert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gemma Kaunert reassigns Medicare benefits to 5 organizations: Careathome Medical Practice Ky (New York, NY), Supportive Care Of Pennsylvania LLC (Monsey, NY), Silver Willow Wellness PC (Reading, PA), Vital Healthcare Solutions (Sinking Springs, PA) and Meditelecare Of Pennsylvania LLC (Harrisburg, PA). 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 Gemma Kaunert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gemma Kaunert accept?

Health plans from Blue Cross and Blue Shield of Texas list Gemma Kaunert 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 Gemma Kaunert was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.