Gina Michelle Hennessy, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

SP010586 Issued in PA

Practice address

702 Gordon Dr
Exton, PA 19341-1253

Phone

(610) 363-1330

Fax

(610) 524-8574

NPI assigned

Dec 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Gina M Mascherino Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• All Star Pediatrics, LLC

  • Pediatrics Physician
  • Exton, PA
  • NPI 1033287552
  NPD (past)

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1831428317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 GORDON DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411253",
            "telephone_number": "610-363-1330",
            "fax_number": "610-524-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 GORDON DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411253",
            "telephone_number": "610-363-1330",
            "fax_number": "610-524-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "GINA",
        "middle_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "SP010586",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP010586",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "DE",
            "license": "LJ-0000276",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP010586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026832780001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "MASCHERINO",
            "middle_name": "M",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mona Hedayatfar, LPC
• Taylor Heebner, PT
• Michael Heffernan, PA-C
• Jennifer M Helm
• Jessica Hendrix, NCC, LPC
• Kelly Marie Henritzy, CRNP-PC
• Herbert F. Abbott, D.P.M., P.C.
• Carol Herbertson
• Joseph Emmanuel Hernandez, LBS
• Jonathan Keppele Hetzel, M.D.

• Primary Care Nurse Practitioner in Exton, PA
• Providers in Exton, PA by specialty
• Primary Care Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.