NPIMap

Individual provider Active NPI

Victoria Kingrey, NP

  • Family Nurse Practitioner
  • Burkesville, KY
National Provider Identifier
1316944242
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4323P Issued in KY
Practice address
299A Glasgow Rd
Burkesville, KY 42717-9696
Phone
(270) 864-2555
Fax
(270) 864-3777
NPI assigned
Jul 7, 2005
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4323P KY Primary

Addresses

Primary practice location

299A Glasgow Rd
Burkesville, KY 42717-9696

Mailing address

1015 S Gassaway Rd
Glasgow, KY 42141-9758
Phone (270) 678-6793

Other identifiers 5

IdentifierTypeStateIssuer
35001304MedicaidKY
P00292618OtherRR MCR
610624096OtherKYCHAMPUS
78014206MedicaidKY
000000182121OtherKYBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040922001211 KY Practitioner - Nurse Practitioner 9133197585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

299 Glasgow Rd
Burkesville, KY 42717-9696
Phone (270) 864-2511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.47 of 100Reported as group
Quality
85.04
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4323PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital Association Inc Family CurrentSince Jan 1, 2011 Accepting new patients
Cumberland County Hospital Association Inc CurrentSince Jan 1, 2011 Accepting new patients
4MD2 Physician Services of Bowling Green LLC Past Accepting new patients
Drakes Creek Emergency Physicians LLC PastSince Nov 19, 2023 Accepting new patients

Locations

299 Glasgow Rd
Burkesville, KY 42717
Phone (270) 864-2511

299A Glasgow Rd
Burkesville, KY 42717
Phone (270) 864-2555

Organizations & group practices 4

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

Hospital & facility affiliations 5

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1316944242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S GASSAWAY RD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421419758",
            "telephone_number": "270-678-6793",
            "fax_number": "270-864-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299A GLASGOW RD",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427179696",
            "telephone_number": "270-864-2555",
            "fax_number": "270-864-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGREY",
        "first_name": "VICTORIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4323P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35001304",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00292618",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "610624096",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78014206",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000182121",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burkesville, KY

Sources for this page

Verify at the official NPI Registry.