Individual provider Active NPI

Gina M Soule, PA-C

  • Surgical Physician Assistant
  • Hartford, CT
National Provider Identifier
1720516834
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
006757 Issued in CT
Practice address
32 Seymour St
Hartford, CT 06106-3321
Phone
(860) 972-2245
NPI assigned
Jun 2, 2017
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA2252 ME
Surgical Physician Assistant 363AS0400X 006757 CT Primary

Addresses

Primary practice location

32 Seymour St
Hartford, CT 06106-3321

Mailing address

32 Seymour St
Hartford, CT 06106-3321
Phone (860) 972-2245

Other practice location 1

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-2245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC, CT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170713000853 GA Practitioner - Physician Assistant 7315216967 Reassigns benefits to 1 organization
I20180905001249 SC Practitioner - Physician Assistant 7315216967 Reassigns benefits to 1 organization
I20241002001078 CT Practitioner - Physician Assistant 7315216967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford HospitalGroup PAC ID 2567366016, 1,040 clinicians

Practice addresses (Care Compare)

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 545-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.63 of 100Reported as group
Quality
75.35
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optim Orthopedics, LLC CurrentSince Jun 26, 2017 Accepting new patients
Hartford Hospital CurrentSince Sep 23, 2024 Accepting new patients
Optim Orthopedics, LLC CurrentSince Jun 26, 2017 Accepting new patients
Optim Orthopedics, LLC CurrentSince Nov 15, 2017 Accepting new patients
Hartford Hospital CurrentSince Sep 23, 2024 Accepting new patients
Optim Orthopedics, LLC PastSince Oct 6, 2019 Accepting new patients

Locations

32 Seymour St
Hartford, CT 06106
Phone (860) 590-2414

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490

210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140

8201 Pinellas Dr
Bluffton, SC 29910
Phone (843) 705-9401

16 Okatie Center Blvd S
Ste 201
Okatie, SC 29909
Phone (843) 476-4702

Organizations & group practices 7

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 2

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": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1720516834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063321",
            "telephone_number": "860-972-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063321",
            "telephone_number": "860-972-2245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Seymour St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061028000",
            "country_code": "US",
            "telephone_number": "860-972-2245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOULE",
        "first_name": "GINA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ME",
            "license": "PA2252",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "006757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.