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ELIZABETH GMINSKI DNP, NP-C
NPI 1669836904
Nurse Practitioner - Family in Seymour Johnson A F B, NC

Active since April 13, 2016PECOS EnrolledAccepts Medicare Assignment
1050 JABARA AVE, SEYMOUR JOHNSON A F B, NC 27531(919) 722-1802(919) 722-4665 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elizabeth Gminski Dnp, Np-c NPPES

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

ELIZABETH GMINSKI DNP, NP-C (NPI 1669836904) is an individual family provider in Seymour Johnson A F B, North Carolina, licensed in Nevada (836129) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1669836904
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH GMINSKICredential: DNP, NP-C
Location Address1050 JABARA AVESeymour Johnson A F B, NC 27531-2310
Mailing Address520 Whisner StGoldsboro, NC 27534-5487 · (605) 359-1573
Phone(919) 722-1802
Fax(919) 722-4665
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 13, 2016
Last NPPES UpdateJuly 13, 2023
NPPES CertifiedJuly 5, 2023
✔ NPI 1669836904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NV · 836129
1050 JABARA AVE, Seymour Johnson A F B, NC 27531
Open in Google Maps ↗

Other Identifiers 1

Other836129NV · Nurse Practitioner

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

Elizabeth Gminski Dnp, Np-c 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 ID2365732435
PECOS Enrollment IDI20251006000514
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 Reassignments

2

Medicare enrollment records show Elizabeth Gminski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trident Healthcare LLC
517 mi
Family
7960 N WICKHAM RD STE 101
Melbourne, FL 32940
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1518676329 (321) 364-2822
Yang Medical Services, PLLC
2,078 mi
Family Medicine
1181 GRIER DR STE C
Las Vegas, NV 89119
  • Reassigned Medicare billing, Nevada enrollment
  • 124 clinicians in this Medicare group
NPI 1538729322 (646) 641-8296

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27531 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 15

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

WILBUR W ALBERTSON
Psychologist (Clinical)
1050 JABARA AVE, SEYMOUR JOHNSON AFB
GOLDSBORO, NC 27531
Wayne County (919) 722-0928
DAVID VINCENT PETER ESPITIA
Military Health Care Provider (Independent Duty Medical Technicians)
1050 JABARA AVE
GOLDSBORO, NC 27531
Wayne County (919) 722-1904
LYNDON JOHNSON RN
Registered Nurse (Ambulatory Care)
1050 JABARA AVE
GOLDSBORO, NC 27531
Wayne County (919) 722-1802
MR. GARY L POLAND
Optometrist
1050 JABARA AVE, SEYMOUR JOHNSON AFB
GOLDSBORO, NC 27531
Wayne County (919) 722-0928
DR. TOD S RUSSELL M.D.
Pediatrics (Pediatric Infectious Diseases)
1050 JABARA AVE, SEYMOUR JOHNSON AFB
GOLDSBORO, NC 27531
Wayne County (919) 722-0928
MR. CHRISTOPHER GARY KEETON
Nurse Anesthetist, Certified Registered
1050 JABARA AVE
SEYMOUR JOHNSON A F B, NC 27531
Wayne County (919) 722-1292
DR. TIMOTHY J DERUYTER DDS
Dentist (General Practice)
1050 JABARA AVE, SEYMOUR JOHNSON AFB
GOLDSBORO, NC 27531
Wayne County (919) 722-1933
DR. ELLIOTT JOHN SALLY DO
Pediatrics
1050 JABARA AVE, SJAFB, PEDIATRIC CLINIC
GOLDSBORO, NC 27531
Wayne County (919) 722-1536

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 Elizabeth Gminski's NPI number?

The NPI number for Elizabeth Gminski is 1669836904. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Where is Elizabeth Gminski located?

Elizabeth Gminski practices at 1050 Jabara Ave, Seymour Johnson A F B, NC 27531. The listed phone number is (919) 722-1802.

What is Elizabeth Gminski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elizabeth Gminski enrolled in Medicare?

Yes. Elizabeth Gminski 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 organizations bill Medicare for Elizabeth Gminski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Gminski reassigns Medicare benefits to 2 organizations: Trident Healthcare LLC (Melbourne, FL) and Yang Medical Services, PLLC (Las Vegas, NV). Each 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 Elizabeth Gminski'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 Elizabeth Gminski was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.