Individual provider Active NPI

Gina Piscatelle, APRN

  • Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1073320453
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4026848 Issued in KY
Practice address
2601 Kentucky Ave Ste 301
Paducah, KY 42003-3826
Phone
(270) 575-3113
NPI assigned
Dec 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 4026848 KY Primary

Addresses

Primary practice location

2601 Kentucky Ave Ste 301
Paducah, KY 42003-3826

Mailing address

2601 Kentucky Ave Ste 301
Paducah, KY 42003-3826
Phone (270) 575-3113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109001177 KY Practitioner - Nurse Practitioner 8729516463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2601 Kentucky Ave
Suite 301
Paducah, KY 42003-3826
Phone (270) 575-3113

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4026848KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince Jan 1, 2025 Accepting new patients
Baptist Health Medical Group Inc Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Baptist Health Medical Group Inc Single Specialty Current Accepting new patients

Locations

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

2601 Kentucky Ave
Ste 301
Paducah, KY 42003
Phone (270) 575-3113

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1073320453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 KENTUCKY AVE STE 301",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033826",
            "telephone_number": "270-575-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 KENTUCKY AVE STE 301",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033826",
            "telephone_number": "270-575-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISCATELLE",
        "first_name": "GINA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4026848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.