Individual provider Active NPI

Gina Lynn Malone, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1801485842
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015474 Issued in KY
Practice address
12501 Shelbyville Rd
Louisville, KY 40243-1530
Phone
(502) 253-2047
NPI assigned
Jan 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 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 3015474 KY Primary

Addresses

Primary practice location

12501 Shelbyville Rd
Louisville, KY 40243-1530

Mailing address

PO Box 932958
Cleveland, OH 44193-0028

Other names 1

  • Gina Burress Former name

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
I20210204000583 KY Practitioner - Nurse Practitioner 0840604781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians

Practice addresses (Care Compare)

12450 La Grange Rd
Louisville, KY 40245-1901
Phone (502) 638-4783

12501 Shelbyville Rd
Middletown, KY 40243-1530
Phone (502) 253-2047

1265 Goss Ave
Louisville, KY 40217-2271
Phone (502) 873-1260

2440 Bardstown Rd
Louisville, KY 40205-2123
Phone (502) 632-0984

2835 S Hwy 393
La Grange, KY 40031-9613
Phone (502) 530-4812

3039 Breckenridge LN
Louisville, KY 40220-2101
Phone (502) 451-4555

311 Boone Station Rd
Shelbyville, KY 40065-8673
Phone (502) 437-8000

5001 Mud LN
Louisville, KY 40229-2870
Phone (502) 962-0710

9440 Brownsboro Rd
Louisville, KY 40241-1200
Phone (502) 618-8317

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
66.02
Promoting interoperability
100
Improvement activities
40
Cost
79.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3015474KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Jan 12, 2021 Accepting new patients

Locations

5533 New Cut Rd
Louisville, KY 40214
Phone (502) 361-7238

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

12501 Shelbyville Rd
Middletown, KY 40243
Phone (502) 244-7960

Interoperability endpoints

  • Direct secure messaging: gina.malone@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 1

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": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1801485842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 SHELBYVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431530",
            "telephone_number": "502-253-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "GINA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "BURRESS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.