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GINA M SUMPTER NP
NPI 1164916003
Nurse Practitioner - Family in Mentor, OH

Active since June 14, 2018PECOS EnrolledAccepts Medicare Assignment
9485 MENTOR AVENUE, SUITE 210, MENTOR, OH 44060(440) 255-5571(440) 205-5744 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2021, Jun 14, 2018 (2 updates tracked since 2018).

About Gina M Sumpter Np NPPES

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

GINA M SUMPTER NP (NPI 1164916003) is an individual family provider in Mentor, Ohio, licensed in Ohio (APRN.CNP.021889) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Austinburg, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1164916003
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGINA M SUMPTERCredential: NP
Location Address9485 MENTOR AVENUE, SUITE 210Mentor, OH 44060
Mailing Address11149 Caddie LnConcord Twp, OH 44077-8939 · (440) 415-5210
Phone(440) 255-5571
Fax(440) 205-5744
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 14, 2018
Last NPPES UpdateJune 11, 20212 updates tracked since enumeration
NPPES CertifiedJune 11, 2021
✔ NPI 1164916003 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 OH · APRN.CNP.021889
9485 MENTOR AVENUE, Mentor, OH 44060
Open in Google Maps ↗

Secondary Practice Location 1

Location 12026 State Route 45Austinburg, OH 44010-9711 · Phone (440) 275-3019

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare.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 M Sumpter Np 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 ID941557029
PECOS Enrollment IDI20180719004009
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 5

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
323 services82 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
63 services43 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
30 services27 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
22 services20 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
19 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44060 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier16 claims16 services$68.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

MRS. BRITTANY LOUISE SKINNER C.N.P.
Nurse Practitioner
9485 MENTOR AVENUE, SUITE 210
MENTOR, OH 44060
Lake County (440) 255-5571
DIANE M LESTER MD
Pediatrics
9485 MENTOR AVENUE, 101
MENTOR, OH 44060
Lake County (440) 205-5800
MICHELE MARIE PIRC CNP
Nurse Practitioner
9485 MENTOR AVENUE, SUITE 210
MENTOR, OH 44060
Lake County (440) 255-5571
BARBARA L DAVIS MD
Pediatrics
9485 MENTOR AVENUE, #101
MENTOR, OH 44060
Lake County (440) 205-5800
MRS. TINA MARIE BUTT NP-C
Nurse Practitioner (Family)
9485 MENTOR AVENUE, SUITE 210
MENTOR, OH 44060
Lake County (440) 255-5571
MICHELLE ANN CAWLEY NP-C
Nurse Practitioner (Adult Health)
9485 MENTOR AVENUE, SUITE 210B
MENTOR, OH 44060
Lake County (440) 205-5734
LISA M NEDLEY PA-C
Physician Assistant (Medical)
9485 MENTOR AVENUE, SUITE 210
MENTOR, OH 44060
Lake County (440) 255-5571
VICTORIA HOPKINS GLAZER NP
Nurse Practitioner
9485 MENTOR AVENUE, SUITE 210
MENTOR, OH 44060
Lake County (440) 255-5571

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 Sumpter's NPI number?

The NPI number for Gina Sumpter is 1164916003. It was assigned to this individual provider in the NPPES registry on June 14, 2018.

Where is Gina Sumpter located?

Gina Sumpter practices at 9485 Mentor Avenue Suite 210, Mentor, OH 44060. The listed phone number is (440) 255-5571.

What is Gina Sumpter's specialty?

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

Is Gina Sumpter enrolled in Medicare?

Yes. Gina Sumpter 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 Sumpter accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Gina Sumpter 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 Sumpter was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.