Individual provider Active NPI

Gina Coccimiglio, DNP, AGPCNP - BC

  • Adult Health Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1659751451
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
883917 Issued in NV
Practice address
170 S Green Valley Pkwy Ste 300
Henderson, NV 89012-3145
Phone
(702) 728-2214
NPI assigned
Jun 5, 2015
Last updated
May 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 883917 NV Primary

Addresses

Primary practice location

170 S Green Valley Pkwy Ste 300
Henderson, NV 89012-3145

Mailing address

138 Sun Glaze Ave
Henderson, NV 89011-1578
Phone (702) 728-2214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20181212003569 CA Practitioner - Nurse Practitioner 6002860152

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
883917NVMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J M Geiss DO Apc CurrentSince Jan 24, 2020 Accepting new patients
Caresource LLC PastSince Apr 14, 2010 Accepting new patients
Integrative Womens Care PC Past Accepting new patients

Locations

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

6975 S Union Park Ctr
Ste 600
Midvale, UT 84047
Phone (385) 255-7859

Interoperability endpoints

  • Direct secure messaging: gina.coccimiglio.1@27069.direct.athenahealth.com

Organizations & group practices 4

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": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1659751451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 SUN GLAZE AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890111578",
            "telephone_number": "702-728-2214",
            "fax_number": "702-995-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 S GREEN VALLEY PKWY STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123145",
            "telephone_number": "702-728-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCCIMIGLIO",
        "first_name": "GINA",
        "credential": "DNP, AGPCNP - BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "883917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.