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GINA V MEDALLE APN-BC
NPI 1164703310
Nurse Practitioner - Adult Health in Chicago, IL

Active since September 01, 2011PECOS EnrolledAccepts Medicare Assignment
233 N MICHIGAN AVE FL 10, CHICAGO, IL 60601(312) 424-5113(312) 424-6518 Get Directions Write a Review

NPPES record last updated: September 1, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Gina V Medalle Apn-bc NPPES

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

GINA V MEDALLE APN-BC (NPI 1164703310) is an individual adult health provider in Chicago, Illinois, licensed in Illinois (209008579) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1164703310
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameGINA V MEDALLECredential: APN-BC
Location Address233 N MICHIGAN AVE FL 10Chicago, IL 60601-5517
Mailing Address233 N. Michigan Ave. 10th FloorChicago, IL 60601-5517
Phone(312) 424-5113
Fax(312) 424-6518
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 1, 2011
✔ NPI 1164703310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IL · 209008579
233 N MICHIGAN AVE FL 10, Chicago, IL 60601
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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 and accepts Medicare assignment

Gina V Medalle Apn-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658681523
PECOS Enrollment IDI20151104002184
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
61 services38 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
50 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60601 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.

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 Medalle's NPI number?

The NPI number for Gina Medalle is 1164703310. It was assigned to this individual provider in the NPPES registry on September 1, 2011.

Where is Gina Medalle located?

Gina Medalle practices at 233 N Michigan Ave Fl 10, Chicago, IL 60601. The listed phone number is (312) 424-5113.

What is Gina Medalle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Gina Medalle enrolled in Medicare?

Yes. Gina Medalle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gina Medalle accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Gina Medalle 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.

Is Gina Medalle affiliated with any hospitals?

According to CMS data, Gina Medalle is affiliated with Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Gina Medalle was last updated on September 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.