GINA DOWNING APN-C
NPI 1326634718
Nurse Practitioner - Adult Health in Toms River, NJ

Active since December 18, 2020PECOS Enrolled
62.4/100
CMS Quality Rating
530 LAKEHURST RD STE 101, TOMS RIVER, NJ 08755(732) 239-6073 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gina Downing Apn-c NPPES

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

GINA DOWNING APN-C (NPI 1326634718) is an individual adult health provider in Toms River, New Jersey, licensed in New Jersey (26NJ01058800) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1326634718
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameGINA DOWNINGCredential: APN-C
Location Address530 LAKEHURST RD STE 101Toms River, NJ 08755-8063
Mailing Address530 Lakehurst Rd Ste 101Toms River, NJ 08755-8063 · (732) 239-6073
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 18, 2020
NPPES CertifiedDecember 18, 2020
NPI 1326634718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NJ · 26NJ01058800
530 LAKEHURST RD STE 101, Toms River, NJ 08755

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 (PECOS)

Gina Downing Apn-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173920816
PECOS Enrollment IDI20241218000872
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

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
75 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

62.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality12.84
Improvement Activities40
Cost80.27

Other Providers at the Same Location NPPES 13

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

Orthopaedic Surgery
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755
Orthopaedic Surgery (Sports Medicine)
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755
Orthopaedic Surgery (Sports Medicine)
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755
Orthopaedic Surgery
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755
Orthopaedic Surgery
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755
Podiatrist (Foot & Ankle Surgery)
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755
Physician Assistant
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755

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 Downing's NPI number?

The NPI number for Gina Downing is 1326634718. It was assigned to this individual provider in the NPPES registry on December 18, 2020.

Where is Gina Downing located?

Gina Downing practices at 530 Lakehurst Rd Ste 101, Toms River, NJ 08755. The listed phone number is (732) 239-6073.

What is Gina Downing's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Gina Downing enrolled in Medicare?

Yes. Gina Downing is registered in the Medicare PECOS enrollment system.

What insurance does Gina Downing accept?

Health plans from UnitedHealthcare list Gina Downing 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 Downing was last updated on December 18, 2020. 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.