GINA RENEA FANN (APRN) – Family Nurse Practitioner, NPI 1114646189

GINA RENEA FANN (APRN) is a healthcare provider. based in Winter haven, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11021031 (FL). The NPI Number for GINA RENEA FANN (APRN) is 1114646189

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
GINA RENEA FANN (APRN)
NPI
1114646189
Phone
(863) 293-1191
Address
500 E CENTRAL AVE
Enumeration Date
24 August 2022
Last Update Date
8 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8632931191
Graduation Year
2022 (4 years ago)
PAC ID
0749666584
Group Practice PAC ID
2264931294
Professional Enrollment ID
I20221003001857
Address ID
FL338814411WI325XXNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for GINA RENEA FANN (APRN)

  • 500 E CENTRAL AVE

    WINTER HAVEN, FL 338803094

    Phone: (863) 293-1191

    Type: Mailing

  • 325 1ST ST N

    WINTER HAVEN, FL 338814111

    Phone: (863) 293-1191

    Fax: (863) 293-7901

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 152 Open Payments records for all available years, with a total value of $4,756.

Total Amount is formed as General ($4,756) + Research ($0) + Ownership ($0) = $4,756.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: US Oncology Corporate, Inc. ($1,383).

Total Amount

$4,756

General + Research + Ownership

Payments

152

Total payment records

General Amount

$4,756

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-10-03

PECOS data refreshed: 2026-05-27

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
I20221003001857INurse PractitionerFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample15075$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count14070$0
80053Blood test, comprehensive group of blood chemicals7961$0
83540Iron level5142$0
82728Ferritin (blood protein) level4941$0
View full utilization report →

Insurance plans in this area (ZIP 33880)

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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: 2264931294View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
H E M A T O L O G YNY
Nurse PractitionerFL
Nurse PractitionerFL
Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
N E P H R O L O G YFL
Pulmonary Disease, Critical Care (Intensivists)FL

Reviews

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Frequently asked questions

What federal number belongs to GINA RENEA FANN (APRN)?
The federal identifier for GINA RENEA FANN (APRN) is NPI 1114646189.
Is GINA RENEA FANN (APRN) currently active in the NPI registry?
CMS-published data lists GINA RENEA FANN (APRN) as an active registrant.
What does GINA RENEA FANN (APRN) treat or focus on?
Patients typically see GINA RENEA FANN (APRN) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for GINA RENEA FANN (APRN)?
We surface Winter Haven, Florida for GINA RENEA FANN (APRN) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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