Individual provider Active NPI

Ginamarie Cittadini Wilson, NP

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1053019430
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0998322-NP Issued in CO
Practice address
3620 Austin Bluffs Pkwy
Colorado Springs, CO 80918-6631
Phone
(034) 271-9325
NPI assigned
Feb 16, 2023
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0998322-NP CO Primary

Addresses

Primary practice location

3620 Austin Bluffs Pkwy
Colorado Springs, CO 80918-6631

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 425-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230503000891 CO Practitioner - Nurse Practitioner 9537524251 Reassigns benefits to 1 organization
I20240311001598 MD Practitioner - Nurse Practitioner 9537524251 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert a. Pascal Youth and Family Services, Inc.Group PAC ID 6406933472, 6 clinicians

Practice addresses (Care Compare)

43 Community PL
Crownsville, MD 21032-2034
Phone (470) 975-0067

Merit-based Incentive Payment System (MIPS)

Final score
84.32 of 100Reported as group
Quality
70.82
Promoting interoperability
100
Improvement activities
40
Cost
76.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sand Dollar Consulting, LLC CurrentSince Sep 24, 2024 Accepting new patients
The Little Clinic of Colorado, LLC Family CurrentSince Mar 13, 2023 Accepting new patients
Robert a. Pascal Youth & Family Services, Inc. CurrentSince Jan 22, 2024 Accepting new patients
Robert a. Pascal Youth and Family Services, Inc. Past Accepting new patients

Locations

3620 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 325-0342

7984 W Alameda Ave
Lakewood, CO 80226
Phone (303) 459-7105

43 Community Pl
Crownsville, MD 21032
Phone (410) 571-4500

741 Annapolis Rd
Gambrills, MD 21054

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Interoperability endpoints

  • Direct secure messaging: ginamarie.wilson@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1053019430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "615-425-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 AUSTIN BLUFFS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186631",
            "telephone_number": "034-271-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "GINAMARIE",
        "middle_name": "CITTADINI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0998322-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.