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

Q: 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.

Q: What is Gina Downing's specialty?

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

Q: 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.

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: October 25, 2026.

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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.

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

Phone(732) 239-6073

Sole ProprietorYes

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Gina Downing reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lopez Pain Management LLC

821 mi

Pain Medicine

4863 PALM COAST PKWY NW UNIT 2&3
Palm Coast, FL 32137

Reassigned Medicare billing, Florida enrollment
9 clinicians in this Medicare group

NPI 1871032466 (386) 222-7746

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

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

Quality

12.84

Improvement Activities

Cost

80.27

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.

ROBERT EDWARD NUGENT JR. DO

Orthopaedic Surgery