GINA MARIE LABELLARTE PA-C
NPI 1417612326
Physician Assistant in Mount Pleasant, WI
NPI Status: Active since November 04, 2021
Contact Information
3803 SPRING ST
MOUNT PLEASANT, WI
ZIP 53405
Phone: (126) 268-7401
- Individual
- Female
- Physician Assistant
- Accepts Insurance
- PECOS Enrolled
About GINA LABELLARTE
This page provides the complete NPI Profile along with additional information for Gina Labellarte, a primary care provider established in Mount Pleasant, Wisconsin with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1417612326 assigned on November 2021. The practitioner's primary taxonomy code is 363A00000X with license number 5604-23 (WI). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1417612326
- Provider Name
- GINA MARIE LABELLARTE PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3803 SPRING ST MOUNT PLEASANT, WI 53405
- Location Phone
- (126) 268-7401
- Mailing Address
- 10625 W NORTH AVE STE 101B WAUWATOSA, WI 53226
- Mailing Phone
- (414) 877-5350
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-04-2021
- Last Update Date
- 11-19-2021
- Code Navigator
A primary care provider (PCP) like Gina Labellarte sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 3237 S 16th St
Milwaukee, WI 53215
(414) 647-5000 - W336S939 Riemer Ct
Oconomowoc, WI 53066
(262) 853-6086 - 9969 S 27th St
Franklin, WI 53132
(414) 325-2222 - 5000 W Chambers St
Milwaukee, WI 53210
(414) 447-2000 - 201 N Mayfair Rd
Milwaukee, WI 53226
(414) 259-7200 - 10101 S 27th St
Franklin, WI 53132
(414) 325-4700 - 19333 W North Ave
Brookfield, WI 53045
(262) 785-2000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 5604-23
- License State
- WI
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 1173677 |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Gina Labellarte is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up nursing facility visit per day, typically 25 minutes
Follow-up nursing facility visit per day, typically 35 minutes
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
This service was performed 74 times for 41 patientsA follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
This service was performed 15 times for 15 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 53405 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 1 | 7 | 6 | 1 | 2 | 3 | 2 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 12 | 1 | 4 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 1 + 2 + 1 + 4 + 3 + 4 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1417612326 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447276712 | DESIREE DIZADJI MD Individual | Internal Medicine (Cardiovascular Disease) | 3803 SPRING ST SUITE 410 RACINE, WI 53405 (262) 687-8260 |
| 1841211950 | NICHOLAS OMDAHL MD Individual | Internal Medicine (Pulmonary Disease) | 3803 SPRING ST SUITE 600 RACINE, WI 53405 (262) 687-8312 |
| 1609898071 | STEVEN JOHNSON MD Individual | Internal Medicine (Pulmonary Disease) | 3803 SPRING ST SUITE 600 RACINE, WI 53405 (262) 687-8312 |
| 1346264223 | HOWARD W. SHORT M.D. Individual | Internal Medicine (Cardiovascular Disease) | 3803 SPRING ST SUITE 410 RACINE, WI 53405 (262) 687-8260 |
| 1851301675 | JAMES TIERNEY MD Individual | Internal Medicine (Cardiovascular Disease) | 3803 SPRING ST SUITE 410 RACINE, WI 53405 (262) 687-8260 |
| 1841200383 | KAYE-EILEEN WILLARD MD Individual | Internal Medicine | 3803 SPRING ST SUITE 410 RACINE, WI 53405 (262) 687-8260 |
| 1710051271 | DR. MICHAEL L. PAPP D.O. Individual | Internal Medicine (Cardiovascular Disease) | 3803 SPRING ST RACINE, WI 53405 (262) 687-3973 |
| 1467898288 | MS. LESLIE C SHAW ACNP-BC Individual | Nurse Practitioner (Acute Care) | 3803 SPRING ST MOUNT PLEASANT, WI 53405 (262) 687-8260 |
| 1770643363 | SHARIFF ATTAYA MD Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 3803 SPRING ST SUITE 400 MOUNT PLEASANT, WI 53405 (262) 687-8208 |
| 1245253764 | BILLIE A LAWLER APNP Individual | Nurse Practitioner (Acute Care) | 3803 SPRING ST MOUNT PLEASANT, WI 53405 (262) 687-6260 |
| 1508318569 | MELISSA MILNE DNP, FNP Individual | Nurse Practitioner (Family) | 3803 SPRING ST MOUNT PLEASANT, WI 53405 (262) 687-3577 |
| 1356792063 | KATELYN CURTIS PA-C Individual | Physician Assistant | 3803 SPRING ST RACINE, WI 53405 (262) 687-4011 |
| 1508896671 | IFTEKHAR BADER M.D. Individual | Internal Medicine (Pulmonary Disease) | 3803 SPRING ST STE 600 RACINE, WI 53405 (262) 687-8312 |
| 1053174607 | ALEK ZAPATA PA-C Individual | Physician Assistant | 3803 SPRING ST MOUNT PLEASANT, WI 53405 (262) 687-4011 |
| 1063910016 | EKI DRAKE FNP Individual | Nurse Practitioner (Adult Health) | 3803 SPRING ST MOUNT PLEASANT, WI 53405 (262) 687-4011 |
| 1174987267 | JONATHAN RATHOD MD Individual | Internal Medicine (Pulmonary Disease) | 3803 SPRING ST MOUNT PLEASANT, WI 53405 (262) 687-5236 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417612326, enumerated in the NPI registry as an "individual" on November 04, 2021
The provider is located at 3803 Spring St Mount Pleasant, Wi 53405 and the phone number is (126) 268-7401
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $82.92 with an average copayment of $20.73 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Follow-up nursing facility visit per day, typically 25 minutes and Follow-up nursing facility visit per day, typically 35 minutes.
This NPI record was last updated on November 04, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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