Active NPI
Gina Wilms, RN
- Registered Nurse
- Willoughby, OH
National Provider Identifier
1144270901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 301072
- Practice address
- 2400 Somrack Dr
Willoughby, OH 44094-9603 - Phone
- (440) 946-0009
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 301072 | OH | Primary |
Addresses
Primary practice location
2400 Somrack Dr
Willoughby, OH 44094-9603
Mailing address
1352 State Route 45
Austinburg, OH 44010-9749
Phone (440) 275-3919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 301072 | Medicaid | OH |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301072 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1144270901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1352 STATE ROUTE 45",
"city": "AUSTINBURG",
"state": "OH",
"postal_code": "440109749",
"telephone_number": "440-275-3919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 SOMRACK DR",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440949603",
"telephone_number": "440-946-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILMS",
"first_name": "GINA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "301072",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "301072",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.