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MRS. GINA ALEXANDRA PUCELLO NP
NPI 1669996070
Nurse Practitioner - Family in Syracuse, NY

Active since July 27, 2017PECOS EnrolledAccepts Medicare Assignment
1045 JAMES ST STE 100, SYRACUSE, NY 13203(315) 472-4471(315) 679-5990 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 2, 2025, Jul 27, 2017 (2 updates tracked since 2017).

About Mrs. Gina Alexandra Pucello Np NPPES

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

MRS. GINA ALEXANDRA PUCELLO NP (NPI 1669996070) is an individual family provider in Syracuse, New York, licensed in New York (F341819) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (2017).

NPPES Registry Identity

NPI1669996070
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. GINA ALEXANDRA PUCELLOCredential: NP
Location Address1045 JAMES ST STE 100Syracuse, NY 13203-2758
Mailing Address1045 James StSyracuse, NY 13203-2730 · (315) 472-4471 · Fax (315) 679-5990
Phone(315) 472-4471
Fax(315) 679-5990
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2017
Enumeration DateJuly 27, 2017
Last NPPES UpdateApril 2, 20252 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1669996070 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 NY · F341819
1045 JAMES ST STE 100, Syracuse, NY 13203
Open in Google Maps ↗

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

Mrs. Gina Alexandra Pucello Np 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 ID4981077658
PECOS Enrollment IDI20230228000104
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 Pucello reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Liberty Resources Inc.
Same address
Mental Health (Including Community Mental Health Center)
1045 JAMES ST
Syracuse, NY 13203
  • Reassigned Medicare billing, New York enrollment
  • 156 clinicians in this Medicare group
NPI 1225254881 (315) 425-1004

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 13203 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

MS. HEIDI M ZIERVOGEL LMSW
Social Worker
1045 JAMES ST STE 100
SYRACUSE, NY 13203
Onondaga County (315) 472-4471
MR. MARCIN ROBERT ZAK LMHC
Counselor (Mental Health)
1045 JAMES ST STE 100
SYRACUSE, NY 13203
Onondaga County (315) 472-4471
CAITLIN BECKER
Counselor (Mental Health)
1045 JAMES ST STE 100
SYRACUSE, NY 13203
Onondaga County (315) 472-4471
ADRIANA SOTOLONGO LMSW
Social Worker
1045 JAMES ST STE 100
SYRACUSE, NY 13203
Onondaga County (315) 425-1004
KAYLA CUNNINGHAM LMHC
Counselor
1045 JAMES ST STE 100
SYRACUSE, NY 13203
Onondaga County (315) 472-4471
MARTA MULHOLLAND PLMHC
Counselor (Mental Health)
1045 JAMES ST STE 100
SYRACUSE, NY 13203
Onondaga County (315) 472-4471
JULIA DOROTHY KOSOWSKY
Nurse Practitioner (Primary Care)
1045 JAMES ST STE 100
SYRACUSE, NY 13203
Onondaga County (315) 425-1004
MAGGIE PRUSINOWSKI
Counselor (Mental Health)
1045 JAMES ST STE 100
SYRACUSE, NY 13203
Onondaga County (315) 424-1004

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 Pucello's NPI number?

The NPI number for Gina Pucello is 1669996070. It was assigned to this individual provider in the NPPES registry on July 27, 2017.

Where is Gina Pucello located?

Gina Pucello practices at 1045 James St Ste 100, Syracuse, NY 13203. The listed phone number is (315) 472-4471.

What is Gina Pucello's specialty?

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

Is Gina Pucello enrolled in Medicare?

Yes. Gina Pucello 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 Pucello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Pucello reassigns Medicare benefits to Liberty Resources Inc. (Syracuse, NY). 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 Pucello'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 Gina Pucello was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.