GINA CAIN APN, PMHNP-BC
NPI 1497429807
Nurse Practitioner - Psychiatric/Mental Health in Toms River, NJ

Active since August 09, 2021PECOS EnrolledAccepts Medicare Assignment
10 ALLEN ST STE 2D, TOMS RIVER, NJ 08753(732) 703-6956(732) 606-4145 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2026, Nov 2, 2021, Aug 9, 2021 (3 updates tracked since 2021).

About Gina Cain Apn, Pmhnp-bc NPPES

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

GINA CAIN APN, PMHNP-BC (NPI 1497429807) is an individual psychiatric/mental health provider in Toms River, New Jersey, licensed in New Jersey (26NJ01168600) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Shrewsbury, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1497429807
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGINA CAINCredential: APN, PMHNP-BC
Location Address10 ALLEN ST STE 2DToms River, NJ 08753-7652
Mailing Address10 Allen St Ste 2dToms River, NJ 08753-7652 · (732) 703-6956 · Fax (732) 606-4145
Fax(732) 606-4145
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 9, 2021
Last NPPES UpdateAugust 19, 20263 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1497429807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ01168600
10 ALLEN ST STE 2D, Toms River, NJ 08753

Secondary Practice Location 1

Location 139 Avenue At The Cmn Ste 106Shrewsbury, NJ 07702-4560 · Phone (732) 703-6956

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gina Cain Apn, Pmhnp-bc 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 ID7113311028
PECOS Enrollment IDI20220218000378
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 Cain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
160 ATLANTIC CITY BLVD
Bayville, NJ 08721
  • Reassigned Medicare billing, New Jersey enrollment
  • 69 clinicians in this Medicare group

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 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.
42 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08753 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.

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
10 ALLEN ST STE 2D
TOMS RIVER, NJ 08753

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 Cain's NPI number?

The NPI number for Gina Cain is 1497429807. It was assigned to this individual provider in the NPPES registry on August 9, 2021.

Where is Gina Cain located?

Gina Cain practices at 10 Allen St Ste 2D, Toms River, NJ 08753. The listed phone number is (732) 703-6956.

What is Gina Cain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Gina Cain enrolled in Medicare?

Yes. Gina Cain 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.

Which organization bills Medicare for Gina Cain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Cain reassigns Medicare benefits to Ocean Mental Health Services Inc (Bayville, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gina Cain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gina Cain accept?

Health plans from Oscar Health list Gina Cain 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 Cain was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.