Gina Lynn Berardinelli, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

NP10067 Issued in OH

Practice address

9485 Mentor Ave Ste 102
Mentor, OH 44060-8722

Phone

(440) 266-5500

Fax

(440) 266-5505

NPI assigned

Jul 10, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allied Dermatology and Skin Surgery, LLCGroup PAC ID 1456679646, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.6 of 100Reported as group

Quality

84.98

Promoting interoperability

100

Improvement activities

40

Cost

70.36

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gb@alliedderm.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allied Dermatology and Skin Surgery, LLC

  • Dermatology Physician
  • Fairlawn, OH
  • NPI 1932592698
  Medicare reassignment Care Compare group NPD
• Comprehensive Medical Services LLC

  • Family Medicine Physician
  • Beachwood, OH
  • NPI 1669486205
  NPD (past)
• Gary R Kutsikovich MD and Associates Inc

  • Neurology Physician
  • Mentor, OH
  • NPI 1841250420
  NPD (past)
• University Dermatologists Inc

  • Dermatology Physician
  • South Euclid, OH
  • NPI 1154487932
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1003079922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 W MARKET ST STE 101",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334510",
            "telephone_number": "866-337-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9485 MENTOR AVE STE 102",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440608722",
            "telephone_number": "440-266-5500",
            "fax_number": "440-266-5505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5915 Landerbrook Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mayfield Hts",
            "state": "OH",
            "postal_code": "441244034",
            "country_code": "US",
            "telephone_number": "216-382-3806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERARDINELLI",
        "first_name": "GINA",
        "middle_name": "LYNN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP10067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2851570",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gb@alliedderm.emadirect.md",
            "affiliation": "Y",
            "address_1": "9485 Mentor Ave Ste 102",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440608722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gb@alliedderm.emadirect.md",
            "affiliation": "Y",
            "address_1": "5915 Landerbrook Dr Ste 120",
            "city": "Mayfield Hts",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441244034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gregory Benko, DPT
• Anthony Bennett, QMHS
• Brett Bennett
• Maryann D. Bentley, RN, BSN, MSN
• Bailey E Benz
• Melissa Berkebile, LSW
• Timothy A Berlin, PCC, SUPERVISOR
• Elizabeth Berman, INDEPENDENT PROVIDER
• Brenda Berry Sample
• Brandy Erin Berry

• Adult Health Nurse Practitioner in Mentor, OH
• Providers in Mentor, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.