GINA MASSEY (APN) – Nurse Practitioner, NPI 1629354519

GINA MASSEY (APN) is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209009085 (IL). The NPI Number for GINA MASSEY (APN) is 1629354519

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
GINA MASSEY (APN)
NPI
1629354519
Phone
(702) 877-8600
Address
2720 N TENAYA WAY
Enumeration Date
24 October 2011
Last Update Date
18 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7025793253
Graduation Year
2011 (15 years ago)
PAC ID
1951557701
Group Practice PAC ID
4981687779
Professional Enrollment ID
I20221116002773
Address ID
NV891280424LA2716XWAYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:14State licenses:3Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for GINA MASSEY (APN)

  • 2720 N TENAYA WAY

    LAS VEGAS, NV 891280424

    Phone: (702) 877-8600

    Type: Location

  • 403 E. 1ST STREET

    KATHERINE SHAW BETHEA HOSPITAL

    DIXON, IL 61021

    Phone: (815) 285-5629

    Fax: (815) 285-5634

    Type: Mailing

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: 2022-11-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120809000491INurse PractitionerILTBD
I20221116002773INurse PractitionerNVTBD

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
99284Emergency department visit with moderate level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 89128)

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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: 4981687779View full group profile
NameSpecialtyState
Family PracticeTX
Internal MedicineNV
Physician AssistantNV
-KY
Nurse PractitionerNV
-NV
Nurse PractitionerNV
O B S T E T R I C S/ G Y N E C O L O G YNV
Nurse PractitionerIL
-NV

Reviews

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Frequently asked questions

What is the standard ID for GINA MASSEY (APN) in the U.S.?
In the U.S., GINA MASSEY (APN) is identified by NPI 1629354519.
Is GINA MASSEY (APN) currently accepting referrals based on NPI status?
Registry metadata lists GINA MASSEY (APN) as active.
Which specialty label fits GINA MASSEY (APN)?
NPPES ties GINA MASSEY (APN) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to GINA MASSEY (APN)?
GINA MASSEY (APN) is associated with Las Vegas, Nevada in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.