Individual provider Active NPI

Gina Reiners, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cheshire, CT
National Provider Identifier
1962451625
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
003238 Issued in CT
Practice address
575 Highland Ave
Cheshire, CT 06410-2254
Phone
(203) 314-1541
Fax
(034) 399-0192
NPI assigned
May 9, 2006
Last updated
Feb 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 003238 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 003238 CT Primary
Clinical Nurse Specialist 364S00000X 003238 CT
Registered Nurse 163W00000X 62118 CT

Addresses

Primary practice location

575 Highland Ave
Cheshire, CT 06410-2254

Mailing address

67 Masonic Ave
Wallingford, CT 06492-3095
Phone (203) 265-5720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20150402001743 CT Practitioner - Nurse Practitioner 3072525419 Reassigns benefits to 1 organization
Practice locations: Cheshire, CT

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

555 Highland Ave
Cheshire, CT 06410-2255
Phone (203) 314-1541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
62118CTMDRegistered Nurse
003238CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Mental Health Specialists Inc Psychiatric/Mental Health CurrentSince Oct 1, 2019 Accepting new patients
Masonicare Primary Care Physicians CurrentSince Oct 31, 2011 Accepting new patients

Locations

270 Farmington Ave
Ste 309
Farmington, CT 06032
Phone (860) 677-5570

67 Masonic Ave
Fl 1
Wallingford, CT 06492
Phone (203) 265-0355

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, 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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1962451625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MASONIC AVE",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923095",
            "telephone_number": "203-265-5720",
            "fax_number": "203-679-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 HIGHLAND AVE",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102254",
            "telephone_number": "203-314-1541",
            "fax_number": "034-399-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINERS",
        "first_name": "GINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "003238",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "003238",
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CT",
            "license": "003238",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "62118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.