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DESTINY GROVE
NPI 1053159749
Nurse Practitioner - Psychiatric/Mental Health in Richmond, KY

Active since July 17, 2024PECOS EnrolledAccepts Medicare Assignment
1012 CENTER DR, RICHMOND, KY 40475(859) 626-9696 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1053159749
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDESTINY GROVE
Location Address1012 CENTER DRRichmond, KY 40475-3838
Mailing AddressPo Box 267Richmond, KY 40476-0267 · (859) 626-9696
Phone(859) 626-9696
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 17, 2024
NPPES CertifiedJuly 17, 2024
✔ NPI 1053159749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 4024428
1012 CENTER DR, Richmond, KY 40475
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4284169442
PECOS Enrollment IDI20241125001541
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CHRISTINA W CALLIHAN APRN
Nurse Practitioner (Psychiatric/Mental Health)
1012 CENTER DR
RICHMOND, KY 40475
Madison County (859) 626-9696
MATTHEW TIGHE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1012 CENTER DR
RICHMOND, KY 40475
Madison County (859) 626-9696
ALISON MULLINS
Nurse Practitioner (Family)
1012 CENTER DR
RICHMOND, KY 40475
Madison County (859) 626-9696
ANDREA NICOLE NEACE
Nurse Practitioner (Psychiatric/Mental Health)
1012 CENTER DR
RICHMOND, KY 40475
Madison County (859) 626-9696

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.

When was this NPI record last updated?

The NPPES record for Destiny Grove was last updated on July 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.