Kalynn Ray Gibson, APRN, CNP
Individual provider Active NPI Family Nurse Practitioner · Frakes, KY
NPI 1629883129 · NPPES record last updated Feb 11, 2025
Key facts
- NPI
- 1629883129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4035263 (KY)
- Practice address
- 94 Charles Gibson Rd
Frakes, KY 40940-9088 - Phone
- (606) 337-3657
- NPI assigned
- Feb 11, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kentucky Friendly Care Center Inc
Practice addresses (Care Compare)
125 W Lothbury Ave
Middlesboro, KY 40965-2881
Phone (606) 248-5322
Hospital & facility affiliations
- Amedisys Home Health Care
- Middlesboro Arh Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250326000859 | KY | Practitioner - Nurse Practitioner | 9032632591 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Friendly Care Center, Inc. | Current |
Accepting new patients |
Locations
125 W Lothbury Ave
Middlesboro, KY 40965
Phone (606) 248-5322
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4035263 | KY | Yes |
Addresses
Primary practice location
94 Charles Gibson Rd
Frakes, KY 40940-9088
Mailing address
94 Charles Gibson Rd
Frakes, KY 40940-9088
Phone (606) 337-3657
Other providers in Frakes, KY
All providers in Frakes, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.