Our Story

About Refine DPC

At Refine Direct Primary Care, we’re on a mission to transform healthcare in our communities through accessible, personalized medical services. By fostering a direct, one-on-one relationship between patient and provider, we ensure your well-being always comes first.

About Us

Our Team

Dr. Gina Coccimiglio, DNP, AGPCNP-BC

Founder & Primary Care Provider

Dr. Gina Coccimiglio is a highly skilled Nurse Practitioner licensed in Nevada, California, and Utah, specializing in Adult Primary Care. With over 25 years of dedicated practice, Gina emphasizes preventive care, expertly diagnosing and treating illnesses and injuries, and managing chronic conditions.

✓Doctor of Adult-Gerontology Primary Care, Nurse Practitioner
✓Licensed in Nevada, California & Utah
✓Decades of dedicated primary care practice
✓Specializes in preventive care & chronic condition management
✓Specialized Men's and Women's Hormone Optimization.
✓Trained in Medical Weight Loss Therapy
✓Focused on Health & Longevity

Dennis Romankowski

Managing Director

Dennis Romankowski leverages his diverse experience in environmental consulting, winemaking, real estate, marine biology, waste management, and business management as the practice administrator of Refine Direct Primary Care. With a strong foundation in operations, project management, and strategic planning, Dennis is well-equipped to oversee both the medical and wellness aspects of the business.

Mandi Merrill, M.Ed.Psych

Resilience Expert

Mandi Merrill is a dedicated coach at Refine Direct Primary Care, driven by her passion for fostering resilience and healthy relationships. Mandi developed a model to help individuals re-wire their resilience, focusing on how to express oneself effectively during challenging situations.

Our Mission

Healthcare Built Around You — Not the System

“My mission is simple: to give every patient the kind of care I would want for my own family. Unhurried, personalized, and built on a real relationship — not a billing code.”
Dr. Gina, Founder, Nurse Practitioner, Refine Direct Primary Care

What We Stand For

Our Core Values

Patient-First Care

Every decision we make starts with what's best for the patient — not what's easiest for the system.

Time & Attention

We keep our patient panel intentionally small so every member gets the time and focus they deserve.

Clinical Excellence

Evidence-based medicine, continuous learning, and a commitment to staying at the forefront of primary care.

Lasting Relationships

We believe the best healthcare is built on trust developed over time — not a revolving door of providers.