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GINA EDUCATE NP
NPI 1285129841
Nurse Practitioner - Family in Utica, NY

Active since June 26, 2018PECOS EnrolledAccepts Medicare Assignment
78.7/100
CMS Quality Rating
1658 CHAMPLIN AVE, SUITE 203, UTICA, NY 13502(315) 624-4915(315) 624-8310 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2020, Feb 25, 2019, Jul 11, 2018 and 1 more (4 updates tracked since 2018).

About Gina Educate Np NPPES

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

GINA EDUCATE NP (NPI 1285129841) is an individual family provider in Utica, New York, licensed in New York (0208206) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1285129841
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGINA EDUCATECredential: NP
Location Address1658 CHAMPLIN AVE, SUITE 203Utica, NY 13502
Mailing Address2209 Genesee Street, Business Office -room 315Utica, NY 13501-5930 · (315) 801-3282 · Fax (315) 801-8391
Phone(315) 624-4915
Fax(315) 624-8310
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 26, 2018
Last NPPES UpdateApril 10, 20204 updates tracked since enumeration
NPPES CertifiedApril 10, 2020
✔ NPI 1285129841 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 · 0208206
1658 CHAMPLIN AVE, Utica, NY 13502
Open in Google Maps ↗

Other Names 1

Former Name (1)Gina Marcantonio

Other Identifiers 1

Medicaid05212560NY

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 Educate 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 ID7719234483
PECOS Enrollment IDI20180726001189
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 4

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 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.
54 services35 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.
33 services27 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
29 services29 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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13502 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.

78.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.73
Promoting Interoperability99
Improvement Activities40
Cost42.38

Reported Quality Measures

Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
16%37 patients
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
90%29 patients4/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
90%29 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%192 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

HAYLEY HUNT
Physician Assistant (Surgical)
1658 CHAMPLIN AVE, SUITE 335
UTICA, NY 13502
Oneida County (315) 941-8845

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 Educate's NPI number?

The NPI number for Gina Educate is 1285129841. It was assigned to this individual provider in the NPPES registry on June 26, 2018. The provider is also known as Gina Marcantonio.

Where is Gina Educate located?

Gina Educate practices at 1658 Champlin Ave Suite 203, Utica, NY 13502. The listed phone number is (315) 624-4915.

What is Gina Educate's specialty?

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

Is Gina Educate enrolled in Medicare?

Yes. Gina Educate 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 Educate affiliated with any hospitals?

According to CMS data, Gina Educate is affiliated with Wynn Hospital.

When was this NPI record last updated?

The NPPES record for Gina Educate was last updated on April 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.