Individual provider Active NPI

Gina Direnzo-Coffey, M.D.

  • Pediatrics Physician
  • Elkhorn, NE
National Provider Identifier
1194880740
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
21462 Issued in NE
Practice address
18018 Burke St
Elkhorn, NE 68022-4417
Phone
(402) 573-7337
Fax
(402) 614-2314
NPI assigned
Dec 26, 2006
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 21462 NE Primary
Pediatric Gastroenterology Physician 2080P0206X 21462 NE

Addresses

Primary practice location

18018 Burke St
Elkhorn, NE 68022-4417

Mailing address

18018 Burke St
Elkhorn, NE 68022-4417
Phone (402) 573-7337

Other identifiers 12

IdentifierTypeStateIssuer
1201455MedicaidNE
0538587MedicaidIA
1201446MedicaidNE
2538587MedicaidIA
1200597MedicaidNE
1200598MedicaidNE
1200599MedicaidNE
1200600MedicaidNE
35173OtherNEMIDLANDS CHOICE
03484OtherNEBCBS
1538587MedicaidIA
1200589MedicaidNE

Other names 1

  • Dr. Gina Direnzo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100709000526 NE Practitioner - Pediatric Medicine 2163554197 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21462NEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Father Flanagan's Boys' Home Pediatrics CurrentSince Mar 8, 2010 Accepting new patients
Village Pointe Pediatrics, PC Pediatrics CurrentSince Oct 18, 2024 Accepting new patients
ENT Services PC Past Accepting new patients
Village Pointe Pediatrics, PC Pediatrics PastSince Oct 18, 2024 Accepting new patients
Dundee Pediatrics, LLC Pediatrics Past Accepting new patients

Locations

14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900

18018 Burke St
Elkhorn, NE 68022
Phone (402) 559-5380

5018 Underwood Ave
Ste 200
Omaha, NE 68132
Phone (402) 681-5394

555 N 30th St
Omaha, NE 68131
Phone (402) 280-8100

Organizations & group practices 5

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1194880740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18018 BURKE ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224417",
            "telephone_number": "402-573-7337",
            "fax_number": "402-614-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18018 BURKE ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224417",
            "telephone_number": "402-573-7337",
            "fax_number": "402-614-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRENZO-COFFEY",
        "first_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "21462",
            "primary": true
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NE",
            "license": "21462",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1201455",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0538587",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1201446",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2538587",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1200597",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1200598",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1200599",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1200600",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "35173",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03484",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538587",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1200589",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "DIRENZO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elkhorn, NE

Sources for this page

Verify at the official NPI Registry.