Individual provider Active NPI

Connie Marie Gellinger, APRN CNM

  • Advanced Practice Midwife
  • Palatka, FL
National Provider Identifier
1497458533
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
11487552 Issued in FL
Practice address
7000 Old Wolf Bay Rd
Palatka, FL 32177-6816
Phone
(386) 597-1396
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 11487552 FL Primary

Addresses

Primary practice location

7000 Old Wolf Bay Rd
Palatka, FL 32177-6816

Mailing address

7000 Old Wolf Bay Rd
Palatka, FL 32177-6816
Phone (386) 597-1396

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312003204 FL Practitioner - Obstetrics/Gynecology 5294171500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

207 Granby Park
Norfolk, VA 23505-4119

7000 Old Wolf Bay Rd
Palatka, FL 32177-6816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
11487552FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
First Coast Obstetrics and Gynecology PA CurrentSince Feb 7, 2024 Accepting new patients
Absolute OBGYN LLC Past Accepting new patients

Locations

7000 Old Wolf Bay Rd
Palatka, FL 32177
Phone (386) 325-5699

Interoperability endpoints

  • Direct secure messaging: connie.gellinger.1@23211.direct.athenahealth.com
  • Direct secure messaging: connie.gellinger.p1@direct.azahealth.nextgenshare.com

Organizations & group practices 2

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": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1497458533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 OLD WOLF BAY RD",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776816",
            "telephone_number": "386-597-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 OLD WOLF BAY RD",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776816",
            "telephone_number": "386-597-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLINGER",
        "first_name": "CONNIE",
        "middle_name": "MARIE",
        "credential": "APRN CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "11487552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

Verify at the official NPI Registry.