MRS. GINA MARIE GOLEM APN
NPI 1093118994
Nurse Practitioner - Family in Oak Lawn, IL

Q: What is Gina Golem's NPI number?

The NPI number for Gina Golem is 1093118994. It was assigned to this individual provider in the NPPES registry on October 6, 2014. The provider is also known as Ms. Gina Bertalmio.

Q: What is Gina Golem's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Gina Golem was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 06, 2014PECOS Enrolled

4440 W 95TH ST, OAK LAWN, IL 60453(708) 684-5580(708) 684-4068 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Gina Marie Golem Apn NPPES

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

MRS. GINA MARIE GOLEM APN (NPI 1093118994) is an individual family provider in Oak Lawn, Illinois, licensed in Illinois (209011976) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093118994

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. GINA MARIE GOLEMCredential: APN

Location Address4440 W 95TH STOak Lawn, IL 60453-2600

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900

Phone(708) 684-5580

Fax(708) 684-4068

Sole ProprietorNo

Enumeration DateOctober 6, 2014

Last NPPES UpdateJune 27, 2022

NPPES CertifiedJune 27, 2022

✔ NPI 1093118994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209011976

4440 W 95TH ST, Oak Lawn, IL 60453

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Other Names 1

Former Name (1)Ms. Gina Bertalmio

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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)

Mrs. Gina Marie Golem Apn 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 60453 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

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.

DR. MARK ADRIAN FAASSE MD

Urology