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MRS. GINA M CONNERTON MLP-NP
NPI 1720399793
Nurse Practitioner - Neonatal in Providence, RI

Active since June 24, 2010PECOS Enrolled
101 DUDLEY ST, PROVIDENCE, RI 02905(401) 274-1100 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Gina M Connerton Mlp-np NPPES

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

MRS. GINA M CONNERTON MLP-NP (NPI 1720399793) is an individual neonatal provider in Providence, Rhode Island, licensed in Rhode Island (20010098) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720399793
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameMRS. GINA M CONNERTONCredential: MLP-NP
Location Address101 DUDLEY STProvidence, RI 02905-2401
Mailing Address11 Dudley Ave SMiddletown, RI 02842-5421 · (401) 847-5501
Phone(401) 274-1100
Sole ProprietorYes
Enumeration DateJune 24, 2010
✔ NPI 1720399793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in RI · 20010098
101 DUDLEY ST, Providence, RI 02905
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 (PECOS)

Mrs. Gina M Connerton Mlp-np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Gina Connerton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Affinity Physicians LLC
Same address
Anesthesiology
101 DUDLEY STREET, WIH DEPT OF ANESTHESIOLOGY
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 984 clinicians in this Medicare group
NPI 1053038471 (401) 274-1122
Newport Hospital
22 mi
Obstetrics & Gynecology
11 FRIENDSHIP ST
Newport, RI 02840
  • Reassigned Medicare billing, Rhode Island enrollment
  • 72 clinicians in this Medicare group
NPI 1063632180 (401) 444-6905
Silver Spring Health Care Management, Inc.
27 mi
Internal Medicine
100 KENYON AVE
Wakefield, RI 02879
  • Reassigned Medicare billing, Rhode Island enrollment
  • 54 clinicians in this Medicare group
NPI 1861561193 (401) 788-1590

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 02905 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

CHRISTOPHER DONALD PALMER DO
Internal Medicine
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1122
BRITTANY S HAMPTON MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
HEIDI FANION LCSW
Social Worker (Clinical)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
MS. LINDA BEETLESTONE MS
Genetic Counselor, MS
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 453-7515
JULIE ANNA KNUTSON RN, CNM
Advanced Practice Midwife
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1122
BETHANY DAWSON LICSW
Social Worker (Clinical)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
HEATHER A SMITH MD, MPH
Obstetrics & Gynecology (Obstetrics)
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1122
NADINE C KASSIS MD
Obstetrics & Gynecology
101 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100

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 Connerton's NPI number?

The NPI number for Gina Connerton is 1720399793. It was assigned to this individual provider in the NPPES registry on June 24, 2010.

Where is Gina Connerton located?

Gina Connerton practices at 101 Dudley St, Providence, RI 02905. The listed phone number is (401) 274-1100.

What is Gina Connerton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Gina Connerton enrolled in Medicare?

Yes. Gina Connerton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gina Connerton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Connerton reassigns Medicare benefits to 3 organizations: Affinity Physicians LLC (Providence, RI), Newport Hospital (Newport, RI) and Silver Spring Health Care Management, Inc. (Wakefield, RI). 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 Gina Connerton'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 Connerton was last updated on June 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.