GINA GORDENIER
NPI 1659193928
Nurse Practitioner - Acute Care in Mishawaka, IN

Q: What is Gina Gordenier's NPI number?

The NPI number for Gina Gordenier is 1659193928. It was assigned to this individual provider in the NPPES registry on October 29, 2024.

Q: What is Gina Gordenier's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Gina Gordenier was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since October 29, 2024PECOS EnrolledAccepts Medicare Assignment

515 PARK PLACE CIR STE 200, MISHAWAKA, IN 46545(574) 607-4724(574) 607-4725 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Gina Gordenier NPPES

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

GINA GORDENIER (NPI 1659193928) is an individual acute care provider in Mishawaka, Indiana, licensed in Indiana (71015969A) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1659193928

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameGINA GORDENIER

Location Address515 PARK PLACE CIR STE 200Mishawaka, IN 46545-3585

Mailing Address515 Park Place Cir Ste 200Mishawaka, IN 46545-3585 · (574) 607-4724 · Fax (574) 607-4725

Phone(574) 607-4724

Fax(574) 607-4725

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 29, 2024

NPPES CertifiedOctober 18, 2024

✔ NPI 1659193928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in IN · 71015969A

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 71015969A (IN)

515 PARK PLACE CIR STE 200, Mishawaka, IN 46545

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Gina Gordenier 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 ID1052848876

PECOS Enrollment IDI20241218001214

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 46545 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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 Gordenier's NPI number?

The NPI number for Gina Gordenier is 1659193928. It was assigned to this individual provider in the NPPES registry on October 29, 2024.

Where is Gina Gordenier located?

Gina Gordenier practices at 515 Park Place Cir Ste 200, Mishawaka, IN 46545. The listed phone number is (574) 607-4724.

What is Gina Gordenier's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Gina Gordenier enrolled in Medicare?

Yes. Gina Gordenier 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.

What insurance does Gina Gordenier accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Gina Gordenier 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 Gordenier was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.