1. Home
  2. Directory
  3. Michigan
  4. Waterford
  5. Physician Assistant
  6. NPI Profile

GINA MARIE LACOLLA PA-C
NPI 1497361752
Physician Assistant in Waterford, MI

Active since September 21, 2020PECOS Enrolled
1255 N OAKLAND BLVD, WATERFORD, MI 48327(248) 599-8999(248) 406-0107 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 26, 2024, Apr 1, 2024, Oct 23, 2023 and 5 more (8 updates tracked since 2020).

About Gina Marie Lacolla Pa-c NPPES

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

GINA MARIE LACOLLA PA-C (NPI 1497361752) is an individual physician assistant in Waterford, Michigan, licensed in Michigan (5601010201) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497361752
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGINA MARIE LACOLLACredential: PA-C
Location Address1255 N OAKLAND BLVDWaterford, MI 48327-1545
Mailing Address523 Meadowdale StFerndale, MI 48220-2446 · (586) 744-6794
Phone(248) 599-8999
Fax(248) 406-0107
Sole ProprietorNo
Enumeration DateSeptember 21, 2020
Last NPPES UpdateDecember 26, 20248 updates tracked since enumeration
NPPES CertifiedDecember 26, 2024
✔ NPI 1497361752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601010201
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1255 N OAKLAND BLVD, Waterford, MI 48327
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health, Providence Health Plan and more.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 Marie Lacolla Pa-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48327 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

COMMUNITY PROGRAMS INC.
Substance Abuse Rehabilitation Facility
1255 N OAKLAND BLVD
WATERFORD, MI 48327
Oakland County (248) 599-8999
ANGELITA RENEE TORRES
Counselor (Addiction (Substance Use Disorder))
1255 N OAKLAND BLVD
WATERFORD, MI 48327
Oakland County (248) 599-8999
MRS. JENNIFER MILZ BURKE P.T.
Physical Therapist
1255 N OAKLAND BLVD, SUITE 145
WATERFORD, MI 48327
Oakland County (248) 666-3329
SHAWN GRAHAM LPC
Counselor (Mental Health)
1255 N OAKLAND BLVD
WATERFORD, MI 48327
Oakland County (248) 406-0090
KIMBERLY ANN FERNS LLPC, DP-C
Counselor (Addiction (Substance Use Disorder))
1255 N OAKLAND BLVD
WATERFORD, MI 48327
Oakland County (248) 599-8999
JANE ELIZABETH LEIPOLD DIKA
Counselor (Mental Health)
1255 N OAKLAND BLVD
WATERFORD, MI 48327
Oakland County (248) 406-0090
ERIN MITCHELL
Community Health Worker
1255 N OAKLAND BLVD
WATERFORD, MI 48327
Oakland County (248) 406-0090
PEGGY OTTERSTETTER FNP
Nurse Practitioner (Family)
1255 N OAKLAND BLVD
WATERFORD, MI 48327
Oakland County (248) 406-0900

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 Lacolla's NPI number?

The NPI number for Gina Lacolla is 1497361752. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Where is Gina Lacolla located?

Gina Lacolla practices at 1255 N Oakland Blvd, Waterford, MI 48327. The listed phone number is (248) 599-8999.

What is Gina Lacolla's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gina Lacolla enrolled in Medicare?

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

What insurance does Gina Lacolla accept?

Health plans from McLaren Health Plan Community, Priority Health, Providence Health Plan and UnitedHealthcare list Gina Lacolla 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 Lacolla was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.