Individual provider Active NPI

Melony Kay Gaskin, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Campbellsville, KY
National Provider Identifier
1477592293
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3004634 Issued in KY
Practice address
522 N Hoskins Ave
Campbellsville, KY 42718-2117
Phone
(270) 849-2379
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3004634 KY Primary
Family Nurse Practitioner 363LF0000X 4634P KY

Addresses

Primary practice location

522 N Hoskins Ave
Campbellsville, KY 42718-2117

Mailing address

PO Box 340
Elizabethtown, KY 42702-0340
Phone (270) 506-2730

Other practice location 1

67 Kingswood Dr
Campbellsville, KY 42718-9647
Phone (270) 849-2379

Other practice location 2

1698 Old Lebanon Rd Ste 2A
Campbellsville, KY 42718-9662
Phone (270) 789-0587

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
I20051006000181 KY Practitioner - Nurse Practitioner 4688699929 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4634PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Astra Behavioral Health LLC Psychiatric/Mental Health CurrentSince Oct 19, 2020 Accepting new patients
Physicians Geriatric Health Services Inc Past Accepting new patients
PSF PLLC PastSince Aug 20, 2018 Accepting new patients
Premiere Providers PLLC PastSince Nov 20, 2004 Accepting new patients

Locations

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

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

420 N Loretto Rd
Ste 200
Lebanon, KY 40033
Phone 2703214480 ext. 306

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

162 S Buckman St
Shepherdsville, KY 40165
Phone (502) 215-8770

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1477592293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427020340",
            "telephone_number": "270-506-2730",
            "fax_number": "270-900-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N HOSKINS AVE",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427182117",
            "telephone_number": "270-849-2379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Kingswood Dr",
            "address_purpose": "LOCATION",
            "city": "Campbellsville",
            "state": "KY",
            "postal_code": "427189647",
            "country_code": "US",
            "telephone_number": "270-849-2379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1698 Old Lebanon Rd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Campbellsville",
            "state": "KY",
            "postal_code": "427189662",
            "country_code": "US",
            "telephone_number": "270-789-0587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASKIN",
        "first_name": "MELONY",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3004634",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4634P",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.