GENA M GORE (FNP-BC, DCNP) – Family Nurse Practitioner, NPI 1376959692

GENA M GORE (FNP-BC, DCNP) is a healthcare provider. based in Indianapolis, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC, DCNP. They hold a License No. 71005439A (IN). The NPI Number for GENA M GORE (FNP-BC, DCNP) is 1376959692

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
GENA M GORE (FNP-BC, DCNP)
NPI
1376959692
Phone
(317) 348-3160
Address
6320 N COLLEGE AVE
Enumeration Date
8 July 2014
Last Update Date
20 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3173483160
Graduation Year
2015 (11 years ago)
PAC ID
7911296660
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20160518002708
Address ID
IN462201706IN6320XAVEX400

Contacts

Secure Messaging
Gena.Gore@forefrontdermatology.emadirect.md
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness95
Years active:11State licenses:1Other names

8,241 NURSE PRACTITIONER in IN

Provider Addresses for GENA M GORE (FNP-BC, DCNP)

  • 6320 N COLLEGE AVE

    INDIANAPOLIS, IN 462201706

    Phone: (317) 348-3160

    Fax: (317) 497-3739

    Type: Location

  • 95 MAIN ST

    READING, MA 018673972

    Phone: (781) 729-4878

    Type: Mailing

  • 400 W GREEN MEADOWS DR STE 110

    GREENFIELD, IN 461403205

    Phone: (317) 967-7921

    Type: Mailing

  • 17471 Wheeler Rd Ste 114

    Westfield, IN 460746903

    Phone: (317) 912-1377

    Fax: (317) 489-5830

    Type: Location

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 184 Open Payments records for all available years, with a total value of $3,266.

Total Amount is formed as General ($3,266) + Research ($0) + Ownership ($0) = $3,266.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABBVIE INC. ($436).

Total Amount

$3,266

General + Research + Ownership

Payments

184

Total payment records

General Amount

$3,266

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-05-18

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160518002708INurse PractitionerINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46220)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779471701View full group profile
NameSpecialtyState
D E R M A T O L O G YAL
-WI
Physician AssistantVA
Physician AssistantAL
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI

Reviews

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Frequently asked questions

Is there an official ID for GENA M GORE (FNP-BC, DCNP) in U.S. healthcare records?
The official identifier for GENA M GORE (FNP-BC, DCNP) is NPI 1376959692.
Is GENA M GORE (FNP-BC, DCNP) shown as active in public data?
Registry records indicate GENA M GORE (FNP-BC, DCNP) maintains an active NPI.
What kind of doctor is GENA M GORE (FNP-BC, DCNP)?
GENA M GORE (FNP-BC, DCNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is GENA M GORE (FNP-BC, DCNP) located near Indianapolis?
GENA M GORE (FNP-BC, DCNP) currently maps to Indianapolis, Indiana in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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