Individual provider Active NPI

Joanna Gullion, NP

  • Family Nurse Practitioner
  • Lexington, IN
National Provider Identifier
1669142477
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016611 Issued in KY
Practice address
4179 S Pleasant Ridge Rd
Lexington, IN 47138-8325
Phone
(812) 595-7795
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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 3016611 KY Primary

Addresses

Primary practice location

4179 S Pleasant Ridge Rd
Lexington, IN 47138-8325

Mailing address

4179 S Pleasant Ridge Rd
Lexington, IN 47138-8325
Phone (812) 595-7795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211210001671 IN Practitioner - Nurse Practitioner 1153711874 Reassigns benefits to 2 organizations
I20211230000652 KY Practitioner - Nurse Practitioner 1153711874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Louisville Geriatric AssociatesGroup PAC ID 1557380086, shared by 2 NPIs, 8 clinicians
Wall Street Medical Group Inpatient Services LLCGroup PAC ID 3274953526, 8 clinicians

Practice addresses (Care Compare)

1015 Magazine St
Louisville, KY 40203-2017
Phone (812) 288-8360

2101 Broadway St
Clarksville, IN 47129-7800
Phone (502) 525-4376

443 Spring St
Suite 200
Jeffersonville, IN 47130-4494
Phone (812) 288-8360

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.41 of 100Reported as group
Quality
95.65
Promoting interoperability
100
Improvement activities
40
Cost
69.07

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Geriatric Associates Family CurrentSince Nov 24, 2021 Accepting new patients
Wall Street Medical Group Inpatient Services LLC Family CurrentSince Dec 1, 2021 Accepting new patients
Louisville Geriatric Associates Family CurrentSince Nov 22, 2021 Accepting new patients

Locations

2101 Broadway St
Clarksville, IN 47129
Phone (502) 365-4151

443 Spring St
Ste 301
Jeffersonville, IN 47130

443 Spring St
Ste 200
Jeffersonvlle, IN 47130
Phone (812) 288-8375

3104 Blackiston Blvd
New Albany, IN 47150
Phone (502) 551-8305

1015 Magazine St
Louisville, KY 40203
Phone (502) 589-0727

923 Eastern Star Ct
Louisville, KY 40204
Phone (502) 451-3535

920 S 4th St
Louisville, KY 40203
Phone (502) 254-4200

Interoperability endpoints

  • Direct secure messaging: joanna.gullion.1@8360.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8360/brand/1/csg/1/fhir/r4

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 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": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1669142477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 S PLEASANT RIDGE RD",
            "city": "LEXINGTON",
            "state": "IN",
            "postal_code": "471388325",
            "telephone_number": "812-595-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4179 S PLEASANT RIDGE RD",
            "city": "LEXINGTON",
            "state": "IN",
            "postal_code": "471388325",
            "telephone_number": "812-595-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLION",
        "first_name": "JOANNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, IN

Sources for this page

Verify at the official NPI Registry.