GINA MARIE THEOFANIDIS APN
NPI 1336797851
Nurse Practitioner - Gerontology in Hillsborough, NJ

Q: What is Gina Theofanidis's NPI number?

The NPI number for Gina Theofanidis is 1336797851. It was assigned to this individual provider in the NPPES registry on August 28, 2019.

Q: What is Gina Theofanidis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Gina Theofanidis was last updated on August 28, 2019. 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.

Active since August 28, 2019PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

511 COURTYARD DR BLDG 500, HILLSBOROUGH, NJ 08844(908) 218-9222(908) 218-1078 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Gina Marie Theofanidis Apn NPPES

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

GINA MARIE THEOFANIDIS APN (NPI 1336797851) is an individual gerontology provider in Hillsborough, New Jersey, licensed in New Jersey (26NJ00954100) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1336797851

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameGINA MARIE THEOFANIDISCredential: APN

Location Address511 COURTYARD DR BLDG 500Hillsborough, NJ 08844-4255

Mailing Address511 Courtyard Dr Bldg 500Hillsborough, NJ 08844-4255 · (908) 218-9222 · Fax (908) 218-1078

Phone(908) 218-9222

Fax(908) 218-1078

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 28, 2019

✔ NPI 1336797851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in NJ · 26NJ00954100

511 COURTYARD DR BLDG 500, Hillsborough, NJ 08844

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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 Marie Theofanidis Apn 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 ID9133450760

PECOS Enrollment IDI20191014001609

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 2

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.

96 services63 patients

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.

32 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310015

Location100 Madison AveMorristown, NJ 07960 · Morris County

Emergency services Birthing friendly

Hackettstown Medical Center

Acute Care Hospitals · Hackettstown, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310115

Location651 Willow Grove StHackettstown, NJ 07840 · Warren County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08844 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 2

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

DR. MARK GREAVES M.D.

Internal Medicine (Gastroenterology)

511 COURTYARD DR BLDG 500
HILLSBOROUGH, NJ 08844

Somerset County (908) 218-9222

KATRINA CAMPION

Nurse Practitioner (Acute Care)

511 COURTYARD DR BLDG 500
HILLSBOROUGH, NJ 08844

Somerset County (908) 218-9222

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 Theofanidis's NPI number?

The NPI number for Gina Theofanidis is 1336797851. It was assigned to this individual provider in the NPPES registry on August 28, 2019.

Where is Gina Theofanidis located?

Gina Theofanidis practices at 511 Courtyard Dr Bldg 500, Hillsborough, NJ 08844. The listed phone number is (908) 218-9222.

What is Gina Theofanidis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Gina Theofanidis enrolled in Medicare?

Yes. Gina Theofanidis 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 Theofanidis affiliated with any hospitals?

According to CMS data, Gina Theofanidis is affiliated with Morristown Medical Center and Hackettstown Medical Center.

When was this NPI record last updated?

The NPPES record for Gina Theofanidis was last updated on August 28, 2019. 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.