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GINA BERTINI THEISEN FNP-C
NPI 1235640582
Nurse Practitioner - Family in Wentzville, MO

Active since October 13, 2017PECOS EnrolledAccepts Medicare Assignment
1603 WENTZVILLE PKWY, WENTZVILLE, MO 63385(636) 332-8228 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 24, 2020, Oct 29, 2020, Sep 23, 2020 and 2 more (5 updates tracked since 2017).

About Gina Bertini Theisen Fnp-c NPPES

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

GINA BERTINI THEISEN FNP-C (NPI 1235640582) is an individual family provider in Wentzville, Missouri, licensed in Missouri (2020031798) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and maintains a secondary practice location in Castle Rock.

NPPES Registry Identity

NPI1235640582
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGINA BERTINI THEISENCredential: FNP-C
Location Address1603 WENTZVILLE PKWYWentzville, MO 63385-3826
Mailing AddressPo Box 955534Saint Louis, MO 63195-5534
Phone(636) 332-8228
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 13, 2017
Last NPPES UpdateNovember 24, 20205 updates tracked since enumeration
NPPES CertifiedNovember 24, 2020
✔ NPI 1235640582 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
Licenses✔ Licensed in MO · 2020031798✔ Licensed in CO · APN.0993335-NP
1603 WENTZVILLE PKWY, Wentzville, MO 63385
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Secondary Practice Location 1

Location 11189 S Perry St Ste 230Castle Rock, CO 80104-1959 · Phone (303) 688-3434

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 Bertini Theisen Fnp-c 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 ID6103189048
PECOS Enrollment IDI20201001002968
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
260 services186 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
43 services36 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
39 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63385 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 9

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

Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers28 claims33 services$12.41 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers22 claims29 services$3.32 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers29 claims30 services$37.48 avg. paid by Medicare
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
3 suppliers18 claims22 services$66.79 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
4 suppliers34 claims1,830 services$6.24 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
4 suppliers29 claims5,162 services$0.03 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 11

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

MONICA WASHBURN
Nurse Practitioner
1603 WENTZVILLE PKWY
WENTZVILLE, MO 63385
St. Charles County (844) 776-7200
PRIMARY CARE PHYSICIANS, PC
Family Medicine
1603 WENTZVILLE PKWY, SUITE 121
WENTZVILLE, MO 63385
St. Charles County (636) 327-6556
MRS. ANDREA CHRISTINE GALATI-BROWN FNP
Nurse Practitioner (Family)
1603 WENTZVILLE PKWY
WENTZVILLE, MO 63385
St. Charles County (636) 332-8228
HEATHER LYNN MILLER FNP
Nurse Practitioner (Family)
1603 WENTZVILLE PKWY
WENTZVILLE, MO 63385
St. Charles County (636) 332-8228
DR. MANOJPAL S DAHUJA MD
Internal Medicine (Pulmonary Disease)
1603 WENTZVILLE PKWY
WENTZVILLE, MO 63385
St. Charles County (636) 332-8228
HEARTLAND WOMEN'S HEALTHCARE MO PC
Obstetrics & Gynecology
1603 WENTZVILLE PKWY
WENTZVILLE, MO 63385
St. Charles County (618) 997-5266
DR. HOWARD GOLDBERG MD
Internal Medicine (Pulmonary Disease)
1603 WENTZVILLE PKWY
WENTZVILLE, MO 63385
St. Charles County (636) 332-8228
DR. BROOKE ADAMS COLBERT M.D.
Internal Medicine (Pulmonary Disease)
1603 WENTZVILLE PKWY
WENTZVILLE, MO 63385
St. Charles County (573) 356-6407

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 Theisen's NPI number?

The NPI number for Gina Theisen is 1235640582. It was assigned to this individual provider in the NPPES registry on October 13, 2017.

Where is Gina Theisen located?

Gina Theisen practices at 1603 Wentzville Pkwy, Wentzville, MO 63385. The listed phone number is (636) 332-8228.

What is Gina Theisen's specialty?

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

Is Gina Theisen enrolled in Medicare?

Yes. Gina Theisen 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.

Is Gina Theisen affiliated with any hospitals?

According to CMS data, Gina Theisen is affiliated with Ssm St Joseph Health Center and Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Gina Theisen was last updated on November 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.