Individual provider Active NPI

Gina Mae Martinovich

  • School Registered Nurse
  • Pittsville, WI
National Provider Identifier
1134038409
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
248509-30 Issued in WI
Practice address
5459 Elementary Ave
Pittsville, WI 54466-9550
Phone
(715) 884-5228
Fax
(715) 884-5232
NPI assigned
Sep 3, 2026
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 248509-30 WI Primary

Addresses

Primary practice location

5459 Elementary Ave
Pittsville, WI 54466-9550

Mailing address

5459 Elementary Ave
Pittsville, WI 54466-9550
Phone (715) 884-5228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1134038409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5459 ELEMENTARY AVE",
            "city": "PITTSVILLE",
            "state": "WI",
            "postal_code": "544669550",
            "telephone_number": "715-884-5228",
            "fax_number": "715-884-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5459 ELEMENTARY AVE",
            "city": "PITTSVILLE",
            "state": "WI",
            "postal_code": "544669550",
            "telephone_number": "715-884-5228",
            "fax_number": "715-884-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINOVICH",
        "first_name": "GINA",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WI",
            "license": "248509-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.