Individual provider Active NPI

Gina Marie Cappiccie, FNP-BC

  • Family Nurse Practitioner
  • Charles Town, WV
National Provider Identifier
1144818907
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
108103 Issued in WV
Practice address
1263 S George St # a
Charles Town, WV 25414-4384
Phone
(443) 383-9300
Fax
(855) 866-8710
NPI assigned
Jan 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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 108103 WV Primary

Addresses

Primary practice location

1263 S George St # a
Charles Town, WV 25414-4384

Mailing address

909 Ridgebrook Rd Ste 300
Sparks Glencoe, MD 21152-9477
Phone (443) 383-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 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
I20210412002215 WV Practitioner - Nurse Practitioner 0749698769 Reassigns benefits to 2 organizations
I20230126001465 OH Practitioner - Nurse Practitioner 0749698769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Partners Plus PLLCGroup PAC ID 4284155425, 125 clinicians

Practice addresses (Care Compare)

Independence, OH 44131
Phone (888) 402-0202

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Consonant Healing Associates of de LLC CurrentSince Jan 3, 2023 Accepting new patients
Healing Partners Plus PLLC CurrentSince Jul 1, 2025 Accepting new patients
Demetrio J Agcaoili MD LLC CurrentSince Feb 17, 2021 Accepting new patients
Consonant Healing Medical Associates PastSince Jan 1, 2023 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

200 Public Sq
Ste 2300
Cleveland, OH 44114
Phone (443) 483-9300

6100 Oak Tree Blvd
Ste 200
Independence, OH 44131
Phone (330) 344-9030

51520 National Rd
Ste 5
St Clairsvle, OH 43950
Phone (304) 639-1433

1263 S George St
#A
Charles Town, WV 25414

1263 S George St
Ste A
Charles Town, WV 25414

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

2600 Middletown Cmns
Fl 1
White Hall, WV 26554
Phone (844) 401-4663

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1144818907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 RIDGEBROOK RD STE 300",
            "city": "SPARKS GLENCOE",
            "state": "MD",
            "postal_code": "211529477",
            "telephone_number": "443-383-9300",
            "fax_number": "855-866-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 S GEORGE ST # A",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254144384",
            "telephone_number": "443-383-9300",
            "fax_number": "855-866-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPICCIE",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "108103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charles Town, WV

Sources for this page

Verify at the official NPI Registry.