MS. GINA RENAE MATHIASON NP-C
NPI 1730789900
Nurse Practitioner in Grand Forks, ND

Active since October 28, 2020PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
ALTRU CANCER CENTER, 960 S COLUMBIA ROAD, GRAND FORKS, ND 58201(701) 780-5400 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 7, 2025, Oct 10, 2024, May 17, 2021 and 1 more (4 updates tracked since 2020).

About Ms. Gina Renae Mathiason Np-c NPPES

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

MS. GINA RENAE MATHIASON NP-C (NPI 1730789900) is an individual nurse practitioner in Grand Forks, North Dakota, licensed in North Dakota (201308) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Riverview Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1730789900
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. GINA RENAE MATHIASONCredential: NP-C
Location AddressALTRU CANCER CENTER, 960 S COLUMBIA ROADGrand Forks, ND 58201
Mailing AddressPo Box 13780Grand Forks, ND 58208 · (701) 780-1891
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 28, 2020
Last NPPES UpdateJanuary 7, 20254 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
✔ NPI 1730789900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in ND · 201308✔ Licensed in GA · RN239823
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
ALTRU CANCER CENTER, Grand Forks, ND 58201

Other Names 1

Former Name (1)Gina Renae Martin Np-c

Accepted Insurance

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

Ms. Gina Renae Mathiason 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 ID9133528383
PECOS Enrollment IDI20250107001792
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 Gina Mathiason reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
1300 S COLUMBIA RD
Grand Forks, ND 58201
  • Reassigned Medicare billing, North Dakota enrollment
  • 701 clinicians in this Medicare group
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
77 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
56 services31 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverview Hospital

Critical Access Hospitals · Crookston, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241320
Location323 South MinnesotaCrookston, MN 56716 · Polk County
Emergency services

Kittson Healthcare

Critical Access Hospitals · Hallock, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241336
Location1010 South Birch AvenueHallock, MN 56728 · Kittson County
Emergency services

Lifecare Medical Center

Critical Access Hospitals · Roseau, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241344
Location715 Delmore DriveRoseau, MN 56751 · Roseau County
Emergency services

Altru Hospital

Acute Care Hospitals · Grand Forks, ND
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number350019
Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County
Emergency services Birthing friendly

Pembina County Memorial Hospital

Critical Access Hospitals · Cavalier, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351319
LocationBox 380Cavalier, ND 58220 · Pembina County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Gerontology)
ALTRU CANCER CENTER, 960 S. COLUMBIA ROAD
GRAND FORKS, ND 58201
Internal Medicine (Hematology & Oncology)
ALTRU CANCER CENTER, 960 S. COLUMBIA ROAD
GRAND FORKS, ND 58201

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 Mathiason's NPI number?

The NPI number for Gina Mathiason is 1730789900. It was assigned to this individual provider in the NPPES registry on October 28, 2020. The provider is also known as Gina Renae Martin Np-C.

Where is Gina Mathiason located?

Gina Mathiason practices at Altru Cancer Center 960 S Columbia Road, Grand Forks, ND 58201. The listed phone number is (701) 780-5400.

What is Gina Mathiason's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Gina Mathiason enrolled in Medicare?

Yes. Gina Mathiason 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 Gina Mathiason's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Mathiason reassigns Medicare benefits to 2 organizations: Altru Health System (Grand Forks, ND) and The Emory Clinic Inc (Atlanta, GA). 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 Mathiason's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gina Mathiason accept?

Health plans from Blue Cross Blue Shield of North Dakota list Gina Mathiason 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.

Is Gina Mathiason affiliated with any hospitals?

According to CMS data, Gina Mathiason is affiliated with Riverview Hospital, Kittson Healthcare, Lifecare Medical Center, Altru Hospital and Pembina County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Gina Mathiason was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.