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GAIL LAGANA APRN
NPI 1417261124
Nurse Practitioner - Adult Health in Rocky Hill, CT

Active since August 05, 2010PECOS EnrolledAccepts Medicare Assignment
506 CROMWELL AVE, ROCKY HILL, CT 06067(860) 529-1287(860) 721-6311 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2025, Jun 22, 2021 (2 updates tracked since 2021).

About Gail Lagana Aprn NPPES

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

GAIL LAGANA APRN (NPI 1417261124) is an individual adult health provider in Rocky Hill, Connecticut, licensed in Connecticut (004425) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (2010).

NPPES Registry Identity

NPI1417261124
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameGAIL LAGANACredential: APRN
Location Address506 CROMWELL AVERocky Hill, CT 06067-1852
Mailing Address506 Cromwell AveRocky Hill, CT 06067-1852 · (860) 529-1287 · Fax (860) 721-6311
Phone(860) 529-1287
Fax(860) 721-6311
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2010
Enumeration DateAugust 5, 2010
Last NPPES UpdateMarch 5, 20252 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1417261124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CT · 004425
Also ListedNurse PractitionerTaxonomy 363L00000X · License 004425 (CT)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 004425 (CT)
506 CROMWELL AVE, Rocky Hill, CT 06067
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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

Gail Lagana Aprn 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 ID8426174673
PECOS Enrollment IDI20100925000093
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 10

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
200 services67 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
71 services39 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
66 services44 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
60 services42 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
31 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06067 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
2 suppliers13 claims13 services$13.59 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
2 suppliers13 claims13 services$13.88 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
2 suppliers13 claims13 services$177.62 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers18 claims18 services$10.04 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
4 suppliers31 claims31 services$8.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SUBURBAN PHYSICAL THERAPY & SPORTS MEDICINE CENTER, LLC
Physical Therapist
506 CROMWELL AVE, STE 103
ROCKY HILL, CT 06067
Capitol Planning Region (860) 721-9801
MR. THOMAS MICHAEL SWEENEY RPT
Physical Therapist
506 CROMWELL AVE, SUITE 103
ROCKY HILL, CT 06067
Capitol Planning Region (860) 721-9801
MR. JASON A. KEMISH MSPT
Physical Therapist
506 CROMWELL AVE, SUITE 103
ROCKY HILL, CT 06067
Capitol Planning Region (860) 721-9801
ANILA GJUZI FNP-BC
Nurse Practitioner (Family)
506 CROMWELL AVE
ROCKY HILL, CT 06067
Capitol Planning Region (860) 529-1287
DR. JEFFREY STEVEN KAHN D.P.M.
Podiatrist
506 CROMWELL AVE
ROCKY HILL, CT 06067
Capitol Planning Region (860) 563-1200
CONNECTICUT FOOT CARE CENTERS LLC
Podiatrist
506 CROMWELL AVE, SUITE 204
ROCKY HILL, CT 06067
Capitol Planning Region (860) 563-1200
ELMO VILLANUEVA MD
Internal Medicine
506 CROMWELL AVE
ROCKY HILL, CT 06067
Capitol Planning Region (860) 529-1287
JACQUES MENDELSOHN MD
Internal Medicine
506 CROMWELL AVE
ROCKY HILL, CT 06067
Capitol Planning Region (860) 529-1287

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 Gail Lagana's NPI number?

The NPI number for Gail Lagana is 1417261124. It was assigned to this individual provider in the NPPES registry on August 5, 2010.

Where is Gail Lagana located?

Gail Lagana practices at 506 Cromwell Ave, Rocky Hill, CT 06067. The listed phone number is (860) 529-1287.

What is Gail Lagana's specialty?

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

Is Gail Lagana enrolled in Medicare?

Yes. Gail Lagana 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.

When was this NPI record last updated?

The NPPES record for Gail Lagana was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.