Individual provider Active NPI

Gina Elaina Verteramo, FNP-BC

  • Nurse Practitioner
  • Mishawaka, IN
National Provider Identifier
1609502608
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28197137A Issued in IN
Practice address
231 W Day Rd
Mishawaka, IN 46545-1401
Phone
(574) 335-4700
NPI assigned
Aug 1, 2022
Last updated
Aug 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28197137A IN Primary

Addresses

Primary practice location

231 W Day Rd
Mishawaka, IN 46545-1401

Mailing address

231 W Day Rd
Mishawaka, IN 46545-1401
Phone (574) 335-4700

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://mychart.trinity-health.org/MyChart/Authentication/Login?postloginurl=inside%2Easp%3F

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220817001299 IN Practitioner - Nurse Practitioner 4688057029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

231 W Day Rd
Saint Joseph Wellness and Weight Management
Mishawaka, IN 46545-1401
Phone (574) 335-4700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28197137AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Current Accepting new patients
Saint Joseph Regional Medical Center, Inc. Nurse Practitioner CurrentSince Sep 1, 2022 Accepting new patients
Saint Joseph Regional Medical Center, Inc. Nurse Practitioner CurrentSince Sep 1, 2022 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc CurrentSince Sep 1, 2022 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. CurrentSince Sep 1, 2022 Accepting new patients

Locations

231 W Day Rd
Mishawaka, IN 46545
Phone (574) 335-4700

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

611 E Douglas Rd
Ste 309
Mishawaka, IN 46545
Phone (574) 335-6232

707 Cedar St
Ste 200
South Bend, IN 46617
Phone (574) 237-1328

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

Interoperability endpoints

  • Direct secure messaging: gverteramo1150111@direct.trinity-health.org

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1609502608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W DAY RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451401",
            "telephone_number": "574-335-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W DAY RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451401",
            "telephone_number": "574-335-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERTERAMO",
        "first_name": "GINA",
        "middle_name": "ELAINA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28197137A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mychart.trinity-health.org/MyChart/Authentication/Login?postloginurl=inside%2Easp%3F",
            "affiliation": "N",
            "address_1": "231 W Day Rd",
            "city": "Mishawaka",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465451401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.