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MRS. GINA ELIZABETH PEARSON APRN, ANP-BC
NPI 1790069722
Nurse Practitioner - Adult Health in Madison Heights, MI

Active since October 10, 2011PECOS EnrolledAccepts Medicare Assignment
27351 DEQUINDRE RD, MADISON HEIGHTS, MI 48071(248) 967-7971 Get Directions Write a Review

NPPES record last updated: July 26, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Gina Elizabeth Pearson Aprn, Anp-bc NPPES

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

MRS. GINA ELIZABETH PEARSON APRN, ANP-BC (NPI 1790069722) is an individual adult health provider in Madison Heights, Michigan, licensed in Michigan (4704243531) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1790069722
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. GINA ELIZABETH PEARSONCredential: APRN, ANP-BC
Location Address27351 DEQUINDRE RDMadison Heights, MI 48071-3487
Mailing Address27351 Dequindre RdMadison Heights, MI 48071-3487 · (248) 967-7971
Phone(248) 967-7971
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 10, 2011
Last NPPES UpdateJuly 26, 2012
✔ NPI 1790069722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MI · 4704243531
27351 DEQUINDRE RD, Madison Heights, MI 48071
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health, UnitedHealthcare.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

Mrs. Gina Elizabeth Pearson Aprn, Anp-bc 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 ID8224205083
PECOS Enrollment IDI20120118000757
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 Pearson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Michigan Healthcare Professionals, P.C.
0.3 mi
Urgent Care
27650 DEQUINDRE RD STE 1200
Warren, MI 48092
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Michigan Healthcare Professionals PC
  • 741 clinicians in this Medicare group
NPI 1568285872 (248) 544-9050
Huron Medical Center PC
48 mi
Hematology & Oncology
1221 PINE GROVE AVE
Port Huron, MI 48060
  • Reassigned Medicare billing, Michigan enrollment
  • 10 clinicians in this Medicare group
NPI 1447277496 (810) 982-5200

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 48071 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
48%242 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,346 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
79%851 patients4/55-star benchmark: 100%
Hematology: Myelodysplastic Syndrome (MDS) and Acute Leukemias: Baseline Cytogenetic Testing Performed on Bone Marrow
Percentage of patients aged 18 years and older with a diagnosis of myelodysplastic syndrome (MDS) or an acute leukemia who had baseline cytogenetic testing performed on bone marrow
39%23 patients
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%37 patients5/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
100%860 patients5/55-star benchmark: 100%
Oncology: Medical and Radiation - Plan of Care for Pain
Percentage of visits for patients, regardless of age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy who report having pain with a documented plan of care to address pain
100%178 patients5/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
100%1,041 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%548 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
9%492 patients1/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 342 patients
Patients tobacco: 94% · 90 patients
99%342 patients5/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
46%548 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
46%548 patients3/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 272 patients
15%272 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. LISA MARIE WARGO DNP
Nurse Practitioner (Acute Care)
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 967-7000
LAURIE DAVENPORT PT
Physical Therapist
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 967-7312
SANTOSH K RASTOGI MD
Psychiatry & Neurology (Psychiatry)
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 967-7480
MRS. JEVONA N MANIEX EFDA, EFODA, MBA
Dental Assistant
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (586) 753-1323
SHAYNAH GOLDFINE D.P.M.
Podiatrist (Foot & Ankle Surgery)
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 967-7607
ALEXANDER ORMAN DO
Emergency Medicine
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 967-7425
YELENA FAYNZILBERT DO
General Practice
27351 DEQUINDRE RD
MADISON HTS, MI 48071
Oakland County (248) 967-7795
MRS. LINDA BUBENKO
Pharmacist
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 967-7041

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 Pearson's NPI number?

The NPI number for Gina Pearson is 1790069722. It was assigned to this individual provider in the NPPES registry on October 10, 2011.

Where is Gina Pearson located?

Gina Pearson practices at 27351 Dequindre Rd, Madison Heights, MI 48071. The listed phone number is (248) 967-7971.

What is Gina Pearson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Gina Pearson enrolled in Medicare?

Yes. Gina Pearson 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 Pearson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Pearson reassigns Medicare benefits to 2 organizations: Michigan Healthcare Professionals, P.C. (Warren, MI) and Huron Medical Center PC (Port Huron, MI). 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 Pearson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gina Pearson accept?

Health plans from Priority Health and UnitedHealthcare list Gina Pearson 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 Pearson was last updated on July 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.