Individual provider Active NPI

Gina Petracco-Robbins, PA

  • Medical Physician Assistant
  • Estero, FL
National Provider Identifier
1386196426
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9109770 Issued in FL
Practice address
19527 Highland Oaks Dr Ste 201
Estero, FL 33928-9637
Phone
(239) 237-0770
Fax
(239) 237-0771
NPI assigned
Oct 25, 2016
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9109770 FL Primary

Addresses

Primary practice location

19527 Highland Oaks Dr Ste 201
Estero, FL 33928-9637

Mailing address

900 Village Square Xing Ste 290
Palm Beach Gardens, FL 33410-4552
Phone (239) 313-2517

Other practice location 1

7331 Gladiolus Dr
Fort Myers, FL 33908-5101
Phone (237) 437-8810

Other practice location 2

9400 Gladiolus Dr Ste 320
Fort Myers, FL 33908-9622
Phone (239) 482-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170328000012 FL Practitioner - Physician Assistant 5698050086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aqua Dermatology of Florida, PAGroup PAC ID 1153390414, 184 clinicians

Practice addresses (Care Compare)

1015 Crosspointe Dr
Naples, FL 34110-0949
Phone (239) 596-9075

25987 S Tamiami TRL
Suite 90
Bonita Springs, FL 34134-7810
Phone (239) 444-3201

7331 Gladiolus Dr
Fort Myers, FL 33908-5101
Phone (239) 437-8810

9400 Gladiolus Dr
Suite 320
Fort Myers, FL 33908-9622
Phone (239) 482-7546

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Aug 1, 2017 Accepting new patients
Associates in Medicine & Surgery LLC Medical PastSince Jun 28, 2021 Accepting new patients

Locations

25987 S Tamiami Trl
Ste 90
Bonita Springs, FL 34134
Phone (239) 444-3201

413 Del Prado Blvd S
Ste 101
Cape Coral, FL 33990
Phone (239) 443-1500

19527 Highland Oaks Dr
Ste 201
Estero, FL 33928
Phone (239) 237-0770

15051 S Tamiami Trl
Ste 203
Fort Myers, FL 33908
Phone (239) 732-5959

7331 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 437-8810

9400 Gladiolus Dr
Ste 320
Fort Myers, FL 33908
Phone (239) 482-7546

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: gpetracco@aquadermatology.emadirect.md

Organizations & group practices 3

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": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1386196426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 VILLAGE SQUARE XING STE 290",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104552",
            "telephone_number": "239-313-2517",
            "fax_number": "239-313-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19527 HIGHLAND OAKS DR STE 201",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289637",
            "telephone_number": "239-237-0770",
            "fax_number": "239-237-0771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7331 Gladiolus Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339085101",
            "country_code": "US",
            "telephone_number": "237-437-8810",
            "fax_number": "239-437-8875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9400 Gladiolus Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339089622",
            "country_code": "US",
            "telephone_number": "239-482-7546",
            "fax_number": "239-243-8648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRACCO-ROBBINS",
        "first_name": "GINA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9109770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

Verify at the official NPI Registry.