GINA MARIE O'CALLAGHAN PA-C
NPI 1003239500
Physician Assistant in Portage, MI

Active since February 04, 2014PECOS Enrolled
3000 OLD CENTRE RD, PORTAGE, MI 49024(269) 321-7546(269) 321-1705 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 28, 2020, Aug 9, 2017 (2 updates tracked since 2017).

About Gina Marie O'callaghan Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GINA MARIE O'CALLAGHAN PA-C (NPI 1003239500) is an individual physician assistant in Portage, Michigan, licensed in Michigan (5601006884) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003239500
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGINA MARIE O'CALLAGHANCredential: PA-C
Location Address3000 OLD CENTRE RDPortage, MI 49024-4883
Mailing Address2180 Henry Tecklenburg DrCharleston, SC 29414-5798 · (843) 556-8886
Fax(269) 321-1705
Sole ProprietorNo
Enumeration DateFebruary 4, 2014
Last NPPES UpdateSeptember 28, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2020
NPI 1003239500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in MI · 5601006884 Licensed in SC · 2108
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3000 OLD CENTRE RD, Portage, MI 49024

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gina Marie O'callaghan Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
3000 OLD CENTRE RD
PORTAGE, MI 49024
Dermatology
3000 OLD CENTRE RD
PORTAGE, MI 49024
Physician Assistant
3000 OLD CENTRE RD
PORTAGE, MI 49024
Dermatology (MOHS-Micrographic Surgery)
3000 OLD CENTRE RD
PORTAGE, MI 49024
Physician Assistant
3000 OLD CENTRE RD
PORTAGE, MI 49024
Physician Assistant
3000 OLD CENTRE RD
PORTAGE, MI 49024
Physician Assistant
3000 OLD CENTRE RD
PORTAGE, MI 49024
Physician Assistant (Medical)
3000 OLD CENTRE RD
PORTAGE, MI 49024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gina O'callaghan's NPI number?

The NPI number for Gina O'callaghan is 1003239500. It was assigned to this individual provider in the NPPES registry on February 4, 2014.

Where is Gina O'callaghan located?

Gina O'callaghan practices at 3000 Old Centre Rd, Portage, MI 49024. The listed phone number is (269) 321-7546.

What is Gina O'callaghan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gina O'callaghan enrolled in Medicare?

Yes. Gina O'callaghan is registered in the Medicare PECOS enrollment system.

What insurance does Gina O'callaghan accept?

Health plans from McLaren Health Plan Community and Priority Health list Gina O'callaghan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gina O'callaghan was last updated on September 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.