Individual provider Active NPI

Gina C Owens

  • Family Nurse Practitioner
  • Murray, KY
National Provider Identifier
1982124491
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201800838NP-PP Issued in OR
Practice address
1000 S 12TH St
Murray, KY 42071
Phone
(270) 759-9200
Fax
(270) 759-9966
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3011373 KY
Family Nurse Practitioner 363LF0000X 201800838NP-PP OR Primary

Addresses

Primary practice location

1000 S 12TH St
Murray, KY 42071

Mailing address

1000 South 12TH Street
Family Practice
Murray, KY 42071
Phone (270) 759-9200

Other practice location 1

401 Main St
Benton, KY 42025
Phone (270) 906-0369

Other practice location 2

390 9th St.
Family Practice
Florence, OR 97439-9700
Phone (541) 997-7134

Other practice location 3

401 Main St
Benton, KY 42025
Phone (270) 906-0369

Other practice location 4

401 Main St
Benton, KY 42025
Phone (270) 906-0369

Other identifiers 2

IdentifierTypeStateIssuer
7100464000MedicaidKY
3011373OtherKYSTATE APN LICENSE

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
I20170711001665 KY Practitioner - Nurse Practitioner 5799054581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1000 S 12TH St
Murray, KY 42071-9303
Phone (270) 854-1444

325 W Walnut St
600 Village Medical
Lebanon, KY 40033-1378
Phone (270) 699-9500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201800838NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Kentucky CurrentSince Jan 1, 2020 Accepting new patients
VMD Primary Providers Central Kentucky CurrentSince Jan 1, 2020 Accepting new patients

Locations

1000 S 12th St
Murray, KY 42071
Phone (270) 759-9200

Interoperability endpoints

  • Direct secure messaging: gowens364838@direct.peacehealth.org
  • Direct secure messaging: gina.owens.1@22064.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1982124491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SOUTH 12TH STREET",
            "address_2": "FAMILY PRACTICE",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "42071",
            "telephone_number": "270-759-9200",
            "fax_number": "270-759-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S 12TH ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "42071",
            "telephone_number": "270-759-9200",
            "fax_number": "270-759-9966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Main St",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "KY",
            "postal_code": "42025",
            "country_code": "US",
            "telephone_number": "270-906-0369",
            "fax_number": "270-906-0371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "390 9th St.",
            "address_2": "Family Practice",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "OR",
            "postal_code": "974399700",
            "country_code": "US",
            "telephone_number": "541-997-7134",
            "fax_number": "541-902-1319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Main St",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "KY",
            "postal_code": "42025",
            "country_code": "US",
            "telephone_number": "270-906-0369",
            "fax_number": "270-906-0371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Main St",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "KY",
            "postal_code": "42025",
            "country_code": "US",
            "telephone_number": "270-906-0369",
            "fax_number": "270-906-0371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "GINA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011373",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201800838NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100464000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE APN LICENSE",
            "identifier": "3011373",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

Verify at the official NPI Registry.