Individual provider Active NPI

Gina Marie White, FNP

  • Family Nurse Practitioner
  • New York Mills, NY
National Provider Identifier
1629813274
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
354598 Issued in NY
Practice address
587 Main St Ste 104
New York Mills, NY 13417-1490
Phone
(315) 765-0122
NPI assigned
Jun 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 354598 NY Primary
Family Nurse Practitioner 363LF0000X APRN11033502 FL

Addresses

Primary practice location

587 Main St Ste 104
New York Mills, NY 13417-1490

Mailing address

587 Main St Ste 104
New York Mills, NY 13417-1490
Phone (315) 765-0122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241125003992 FL Practitioner - Nurse Practitioner 7618402827 Reassigns benefits to 1 organization
I20250227000951 NY Practitioner - Nurse Practitioner 7618402827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1729 Burrstone Rd
New Hartford, NY 13413-1093

PO Box
Suite 340
New Hartford, NY 13413

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John Robertson M D Family Medicine PLLC CurrentSince Sep 15, 2025 Accepting new patients
Primary Care Solutions & More LLC CurrentSince Nov 20, 2024 Accepting new patients

Locations

1701 SE Hillmoor Dr
Ste 7
Port St Lucie, FL 34952
Phone (772) 398-9808

587 Main St
Ste 104
New York Mls, NY 13417
Phone (315) 765-0122

Interoperability endpoints

  • Direct secure messaging: gina.white.1@25403.direct.athenahealth.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.

Hospital & facility affiliations 1

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": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1629813274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 MAIN ST STE 104",
            "city": "NEW YORK MILLS",
            "state": "NY",
            "postal_code": "134171490",
            "telephone_number": "315-765-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 MAIN ST STE 104",
            "city": "NEW YORK MILLS",
            "state": "NY",
            "postal_code": "134171490",
            "telephone_number": "315-765-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "354598",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11033502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York Mills, NY

Sources for this page

Verify at the official NPI Registry.