Gina Marie Labellarte, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5604-23 Issued in WI

Practice address

3803 Spring St
Mount Pleasant, WI 53405-1660

Phone

(126) 268-7401

NPI assigned

Nov 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• EMS Observation, S.C.

  • Emergency Medicine Physician
  • Franklin, WI
  • NPI 1033858378
  NPD

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1417612326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10625 W NORTH AVE STE 101B",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262315",
            "telephone_number": "414-877-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 SPRING ST",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534051660",
            "telephone_number": "126-268-7401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W336S939 Riemer Ct",
            "address_purpose": "LOCATION",
            "city": "Oconomowoc",
            "state": "WI",
            "postal_code": "530661245",
            "country_code": "US",
            "telephone_number": "262-853-6086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9969 S 27th St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531329533",
            "country_code": "US",
            "telephone_number": "414-325-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 W Chambers St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532101650",
            "country_code": "US",
            "telephone_number": "414-447-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 N Mayfair Rd",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532264216",
            "country_code": "US",
            "telephone_number": "414-259-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10101 S 27th St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531327209",
            "country_code": "US",
            "telephone_number": "414-325-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3237 S 16th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532154526",
            "country_code": "US",
            "telephone_number": "414-647-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19333 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530454132",
            "country_code": "US",
            "telephone_number": "262-785-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABELLARTE",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "1173677",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "5604-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Ann Kulba, D.C.
• Pradeep Gopi Kumar, MD
• Jadelyn Kurtz, MS, SLP
• Ye Eun Kwak, M.D.
• Megan Laake, PA-C
• Nicole Labinski, PSY.D.
• Julia Laforge
• Kennedy Lake
• Rebekah Anne Lalgee, PTA
• Doreen Lambert, OT

• Physician Assistant in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.