DESTINY GROVE
NPI 1053159749
Nurse Practitioner - Psychiatric/Mental Health in Richmond, KY
About Destiny Grove NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DESTINY GROVE (NPI 1053159749) is an individual psychiatric/mental health provider in Richmond, Kentucky, licensed in Kentucky (4024428) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Destiny Grove is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Destiny Grove reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Richmond, KY 40475
- Reassigned Medicare billing, Kentucky enrollment
- 16 clinicians in this Medicare group
Lancaster, KY 40444
- Reassigned Medicare billing, Kentucky enrollment
- 30 clinicians in this Medicare group
Booneville, KY 41314
- Reassigned Medicare billing, Kentucky enrollment
- 41 clinicians in this Medicare group
Manchester, KY 40962
- Reassigned Medicare billing, Kentucky enrollment
- 42 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40475 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RICHMOND, KY 40475
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Destiny Grove's NPI number?
The NPI number for Destiny Grove is 1053159749. It was assigned to this individual provider in the NPPES registry on July 17, 2024.
Where is Destiny Grove located?
Destiny Grove practices at 1012 Center Dr, Richmond, KY 40475. The listed phone number is (859) 626-9696.
What is Destiny Grove's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Destiny Grove enrolled in Medicare?
Yes. Destiny Grove is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Destiny Grove's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Destiny Grove reassigns Medicare benefits to 4 organizations: Family Health Care Clinic Psc (Richmond, KY), Lancaster Family Health Care (Lancaster, KY), Family Practice Clinic Of Booneville, Inc. (Booneville, KY) and Mountain Family Practice Clinic Of Manchester Inc (Manchester, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Destiny Grove's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Destiny Grove accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Destiny Grove as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Destiny Grove was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Destiny Grove · NPI 1053159749
Psychiatric/Mental Health physician in Richmond, Kentucky. Individual provider, active in the CMS NPPES registry since July 17, 2024.
## Identity
- **NPI:** 1053159749 (Entity type: Individual)
- **Enumerated:** July 17, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 4024428 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 1012 CENTER DR, Richmond, KY 40475-3838
- **Phone:** (859) 626-9696
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Family Health Care Clinic Psc (NPI 1073717286, Richmond, KY); Lancaster Family Health Care (NPI 1942946710, Lancaster, KY); Family Practice Clinic Of Booneville, Inc. (NPI 1326152109, Booneville, KY); Mountain Family Practice Clinic Of Manchester Inc (NPI 1689919078, Manchester, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053159749) · Data from the CMS NPPES public registry.