GINA M SUMPTER NP
NPI 1164916003
Nurse Practitioner - Family in Mentor, OH
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Gina Sumpter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mentor, OH 44060
- Reassigned Medicare billing, Ohio enrollment
- 285 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
MENTOR, OH 44060
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.
Which organization bills Medicare for Gina Sumpter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gina Sumpter reassigns Medicare benefits to Lake Hospital System, Inc. (Mentor, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gina Sumpter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gina Sumpter accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers 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.
# Gina M Sumpter, NP · NPI 1164916003
Family physician in Mentor, Ohio. Individual provider, active in the CMS NPPES registry since June 14, 2018.
## Identity
- **NPI:** 1164916003 (Entity type: Individual)
- **Enumerated:** June 14, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN.CNP.021889 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 9485 MENTOR AVENUE, SUITE 210, Mentor, OH 44060
- **Phone:** (440) 255-5571 · **Fax:** (440) 205-5744
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lake Hospital System, Inc. (NPI 1710207329, Mentor, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** June 11, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1164916003) · Data from the CMS NPPES public registry.