MELISSA GENSEL
NPI 1154265361
Nurse Practitioner - Primary Care in Somerset, KY
About Melissa Gensel NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA GENSEL (NPI 1154265361) is an individual primary care provider in Somerset, Kentucky, licensed in Kentucky (4051806) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
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
Melissa Gensel 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 Reassignment
Medicare enrollment records show Melissa Gensel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Somerset, KY 42503
- Reassigned Medicare billing, Kentucky enrollment
- 78 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 42503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Melissa Gensel's NPI number?
The NPI number for Melissa Gensel is 1154265361. It was assigned to this individual provider in the NPPES registry on April 17, 2026.
Where is Melissa Gensel located?
Melissa Gensel practices at 148 Beauchamp Blvd, Somerset, KY 42503. The listed phone number is (847) 293-8121.
What is Melissa Gensel's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Melissa Gensel enrolled in Medicare?
Yes. Melissa Gensel 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 organization bills Medicare for Melissa Gensel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Gensel reassigns Medicare benefits to Lake Cumberland Physician Practices, LLC (Somerset, KY). The 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 Melissa Gensel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Melissa Gensel accept?
Health plans from Anthem Blue Cross and Blue Shield list Melissa Gensel 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 Melissa Gensel was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Melissa Gensel · NPI 1154265361
Primary Care physician in Somerset, Kentucky. Individual provider, active in the CMS NPPES registry since April 17, 2026.
## Identity
- **NPI:** 1154265361 (Entity type: Individual)
- **Enumerated:** April 17, 2026
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 4051806 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 148 BEAUCHAMP BLVD, Somerset, KY 42503-9267
- **Phone:** (847) 293-8121
## 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:** Lake Cumberland Physician Practices, LLC (NPI 1811356892, Somerset, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** April 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1154265361) · Data from the CMS NPPES public registry.