Individual provider Active NPI

Gina W Riley, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Frankfort, KY
National Provider Identifier
1427828706
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4011544 Issued in KY
Practice address
306 W Main St Ste 512
Frankfort, KY 40601-1840
Phone
(574) 546-1900
Fax
(574) 546-1999
NPI assigned
Jan 8, 2024
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4011544 KY Primary

Addresses

Primary practice location

306 W Main St Ste 512
Frankfort, KY 40601-1840

Mailing address

515 Oak Branch Rd
Louisville, KY 40245-5131
Phone (502) 287-3708

Other practice location 1

4010 DuPont Cir Ste 210
Louisville, KY 40207-4847
Phone (502) 694-4820

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
I20240127000261 KY Practitioner - Nurse Practitioner 4183077027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Post-Acute Medical Services 1 PSCGroup PAC ID 9234471426, 25 clinicians

Practice addresses (Care Compare)

10210 Long Home Rd
Louisville, KY 40291-6400
Phone (502) 231-4522

200 Brookside Dr
Louisville, KY 40243-1277
Phone (800) 385-2527

325 Lincoln Way
Bardstown, KY 40004-2003
Phone (913) 772-1844

4247 Westport Rd
Louisville, KY 40207-2227
Phone (502) 694-7432

723 Old Burkesville Rd
Albany, KY 42602-1654
Phone (606) 387-8000

901 Blankenbaker Pkwy
Louisville, KY 40243-1884
Phone (502) 289-5593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4011544KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Post-Acute Medical Services 1 PSC Psychiatric/Mental Health CurrentSince Jun 2, 2025 Accepting new patients
Astra Behavioral Health LLC Psychiatric/Mental Health CurrentSince Jan 10, 2024 Accepting new patients

Locations

723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421

1013 Granite Dr
Bardstown, KY 40004
Phone (270) 506-2730

2000 Ring Rd
Elizabethtown, KY 42701
Phone (270) 506-2730

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

4010 DuPont Cir
Ste 210
Louisville, KY 40207
Phone (502) 694-4820

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1427828706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 OAK BRANCH RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455131",
            "telephone_number": "502-287-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST STE 512",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406011840",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4010 DuPont Cir Ste 210",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074847",
            "country_code": "US",
            "telephone_number": "502-694-4820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "GINA",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4011544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.