MRS. GINA MARIE MODENA (APRN) – Adult Health Nurse Practitioner, NPI 1821122441
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,989 NURSE PRACTITIONER in OH
Provider Addresses for MRS. GINA MARIE MODENA (APRN)
1461 CORNERSTONE ST SW
HARTVILLE, OH 446328935
Phone: (330) 715-8486
Fax: (330) 478-3341
Type: Mailing
4048 DRESSLER RD NW
SUITE 203
CANTON, OH 447182784
Phone: (330) 478-4132
Fax: (330) 478-3341
Type: Location
875 N. MUNROE RD
TALLMADGE, OH 44278
Phone: (330) 715-8486
Fax: (330) 375-7499
Type: Mailing
141 N FORGE ST STE 400
AKRON, OH 44304
Phone: (330) 375-7494
Fax: (330) 375-7499
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $585.
Total Amount is formed as General ($585) + Research ($0) + Ownership ($0) = $585.
Last reported payment date: 2024-03-20 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($327).
Total Amount
$585
General + Research + Ownership
Payments
7
Total payment records
General Amount
$585
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $327 |
| AstraZeneca Pharmaceuticals LP | $119 |
| ATRICURE, INC. | $105 |
| TACTILE SYSTEMS TECHNOLOGY INC | $20 |
| Neurelis, Inc. | $14 |
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: 2009-06-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090601000269 | I | Nurse Practitioner | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 53 | 52 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 30 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 20 | 20 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 44632)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | OH | 90670 | Pneumococcal vaccine for injection into muscle | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Cardiac Electrophysiology | OH | |
| - | OH | |
| Critical Care (Intensivists) | KY | |
| - | OH | |
| Family Practice | OH | |
| Family Practice | OH | |
| Cardiovascular Disease (Cardiology) | OH | |
| General Surgery | IL | |
| Family Practice | GA |
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