MS. GINA NOELLE CLONEY (NP) – Nurse Practitioner, NPI 1689603490

MS. GINA NOELLE CLONEY (NP) is a healthcare provider. based in San rafael, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 15564 (CA). The NPI Number for MS. GINA NOELLE CLONEY (NP) is 1689603490

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MS. GINA NOELLE CLONEY (NP)
NPI
1689603490
Phone
Not provided
Address
99 MONTECILLO RD
Enumeration Date
2 July 2006
Last Update Date
3 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7076511000
Graduation Year
2004 (22 years ago)
PAC ID
7113927195
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20061226000126
Address ID
CA945892441VA975XXDRXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

16,538 NURSE PRACTITIONER in CA

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Provider Addresses for MS. GINA NOELLE CLONEY (NP)

  • Kaiser Permanente San Rafael Medical Center, 99, Montecillo Road, Terra Linda, San Rafael, Marin County, California, 94903, United States

    SAN RAFAEL, CA 949033308

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-12-26

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061226000126INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94903)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
-MA
Emergency MedicineCA
-CA
Internal MedicineNY

Reviews

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Frequently asked questions

What federal number belongs to MS. GINA NOELLE CLONEY (NP)?
The federal identifier for MS. GINA NOELLE CLONEY (NP) is NPI 1689603490.
Is MS. GINA NOELLE CLONEY (NP)'s NPI currently valid?
The extract we use shows MS. GINA NOELLE CLONEY (NP) as active.
What field does MS. GINA NOELLE CLONEY (NP) work in?
You can think of MS. GINA NOELLE CLONEY (NP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for MS. GINA NOELLE CLONEY (NP)?
We surface San Rafael, California for MS. GINA NOELLE CLONEY (NP) based on available NPPES addresses.
What if San Rafael, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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