Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gina Rupert, PAC

Individual provider Medical Physician Assistant · NPI 1184652711

Gina Rupert, PAC is a Physician Assistant in Southbury, Connecticut. Qualified in 2005, 21 years ago. Practices with Trinity Health of New England Provider Network Organization Inc, a 635-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
21
Licensed in
CT
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

385 Main St S Ste 301 Union Square
Southbury, CT 06488
Phone: (203) 264-3319
Fax: (203) 267-6382
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 001710 (CT)

Record details

NPI number1184652711
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021
Mailing address385 Main St South, Ste 301 Union Square, Southbury, CT 06488

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Trinity Health Of New England Provider Network Organization Inc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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