ESTELA GUMINA FNP-C
NPI 1275280059
Nurse Practitioner - Family in Ithaca, NY

Active since March 02, 2022PECOS EnrolledAccepts Medicare Assignment
82.9/100
CMS Quality Rating
720 WILLOW AVE, ITHACA, NY 14850(607) 219-4600 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Estela Gumina Fnp-c NPPES

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

ESTELA GUMINA FNP-C (NPI 1275280059) is an individual family provider in Ithaca, New York, licensed in New York (348297) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1275280059
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameESTELA GUMINACredential: FNP-C
Location Address720 WILLOW AVEIthaca, NY 14850-3215
Mailing Address1 Guthrie SqSayre, PA 18840-1625 · (570) 888-5858
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 2, 2022
NPPES CertifiedMarch 2, 2022
NPI 1275280059 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 NY · 348297
720 WILLOW AVE, Ithaca, NY 14850

Other Names 1

Former Name (1)Estela Gaxha

Accepted 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

Estela Gumina 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 ID4981091006
PECOS Enrollment IDI20220420000620, I20240605002755
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 9

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.

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
201 services30 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
75 services37 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
65 services45 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
57 services30 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
41 services15 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
33 services22 patients

Hospital Affiliations CMS Care Compare

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

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330074
Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14850 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

Other Providers at the Same Location NPPES 8

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

Physical Medicine & Rehabilitation
720 WILLOW AVE
ITHACA, NY 14850
Family Medicine
720 WILLOW AVE
ITHACA, NY 14850
Optometrist
720 WILLOW AVE
ITHACA, NY 14850
Internal Medicine (Endocrinology, Diabetes & Metabolism)
720 WILLOW AVE
ITHACA, NY 14850
Physical Therapist
720 WILLOW AVE
ITHACA, NY 14850
Pain Medicine (Pain Medicine)
720 WILLOW AVE
ITHACA, NY 14850
Radiology (Diagnostic Radiology)
720 WILLOW AVE
ITHACA, NY 14850
Nurse Practitioner (Primary Care)
720 WILLOW AVE
ITHACA, NY 14850

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 Estela Gumina's NPI number?

The NPI number for Estela Gumina is 1275280059. It was assigned to this individual provider in the NPPES registry on March 2, 2022. The provider is also known as Estela Gaxha.

Where is Estela Gumina located?

Estela Gumina practices at 720 Willow Ave, Ithaca, NY 14850. The listed phone number is (607) 219-4600.

What is Estela Gumina's specialty?

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

Is Estela Gumina enrolled in Medicare?

Yes. Estela Gumina 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 Estela Gumina accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Estela Gumina 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 Estela Gumina affiliated with any hospitals?

According to CMS data, Estela Gumina is affiliated with F F Thompson Hospital.

When was this NPI record last updated?

The NPPES record for Estela Gumina was last updated on March 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.