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NICOLE E GIPP CRNA
NPI 1629398177
Anesthesiologist Assistant in Stratford, CT

Active since June 07, 2010Accepts Medicare Assignment
7365 MAIN ST, SUITE 310, STRATFORD, CT 06614(203) 384-3174(203) 384-4619 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole E Gipp Crna NPPES

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

NICOLE E GIPP CRNA (NPI 1629398177) is an individual anesthesiologist assistant in Stratford, Connecticut, licensed in Connecticut (004409) and active in the NPI registry since June 2010. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1629398177
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameNICOLE E GIPPCredential: CRNA
Location Address7365 MAIN ST, SUITE 310Stratford, CT 06614-1300
Mailing Address7365 Main St, Suite 310Stratford, CT 06614-1300 · (203) 384-3174 · Fax (203) 384-4619
Phone(203) 384-3174
Fax(203) 384-4619
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 7, 2010
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1629398177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in CT · 004409
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
Also ListedRegistered NurseTaxonomy 163W00000X · License 082127 (CT)
7365 MAIN ST, Stratford, CT 06614
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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

Nicole E Gipp Crna 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 ID7113041237
PECOS Enrollment IDI20121128000402

Medicare Billing Reassignment

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

Permanente Medical Group Inc
2,548 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 17

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

ORONOQUE APOTHECARY LLC
Pharmacy (Community/Retail Pharmacy)
7365 MAIN ST
STRATFORD, CT 06614
Greater Bridgeport Planning Region (203) 378-0111
MEGHAN LEARY CRNA
Nurse Anesthetist, Certified Registered
7365 MAIN ST, SUITE 310
STRATFORD, CT 06614
Greater Bridgeport Planning Region (800) 586-2153
DUSTIN F RABINE PP LLC
Dentist (General Practice)
7365 MAIN ST
STRATFORD, CT 06614
Greater Bridgeport Planning Region (203) 375-1932
MR. GUS HATZIS
Pharmacist
7365 MAIN ST
STRATFORD, CT 06614
Greater Bridgeport Planning Region (203) 378-1111
MS. CECELIA CHRISTMAS
Social Worker
7365 MAIN ST
STRATFORD, CT 06614
Greater Bridgeport Planning Region (203) 435-8991
CAROLINE BRAGLIA
Nurse Practitioner
7365 MAIN ST
STRATFORD, CT 06614
Greater Bridgeport Planning Region (203) 306-8785
ORONOQUE PHARMACY
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
7365 MAIN ST
STRATFORD, CT 06614
Greater Bridgeport Planning Region (203) 378-1111
KAREN GRANTE BONNANZIO O.D.
Optometrist
7365 MAIN ST
STRATFORD, CT 06614
Greater Bridgeport Planning Region (203) 377-3937

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 Nicole Gipp's NPI number?

The NPI number for Nicole Gipp is 1629398177. It was assigned to this individual provider in the NPPES registry on June 7, 2010.

Where is Nicole Gipp located?

Nicole Gipp practices at 7365 Main St Suite 310, Stratford, CT 06614. The listed phone number is (203) 384-3174.

What is Nicole Gipp's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Nicole Gipp enrolled in Medicare?

Yes. Nicole Gipp 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 Nicole Gipp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Gipp reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). 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 Nicole Gipp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Gipp was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.