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GINA CLARK APRN
NPI 1174912406
Nurse Practitioner - Primary Care in Louisville, KY

Active since January 09, 2015PECOS EnrolledAccepts Medicare Assignment
4200 GARDINER VIEW AVE, LOUISVILLE, KY 40213(502) 456-0494(502) 456-0496 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2019, Nov 23, 2015 (2 updates tracked since 2015).

About Gina Clark Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GINA CLARK APRN (NPI 1174912406) is an individual primary care provider in Louisville, Kentucky, licensed in Kentucky (3008878) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of University Of Louisville School Of Medicine (2014).

NPPES Registry Identity

NPI1174912406
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameGINA CLARKCredential: APRN
Location Address4200 GARDINER VIEW AVELouisville, KY 40213-1877
Mailing Address3120 Runnymede RdLouisville, KY 40222-6144 · (502) 657-1076 · Fax (888) 959-2460
Phone(502) 456-0494
Fax(502) 456-0496
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2014
Enumeration DateJanuary 9, 2015
Last NPPES UpdateAugust 16, 20192 updates tracked since enumeration
✔ NPI 1174912406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in KY · 3008878
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3008878 (KY)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 3008878 (KY)
4200 GARDINER VIEW AVE, Louisville, KY 40213
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Gina Clark Aprn 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 ID446576326
PECOS Enrollment IDI20150312000921
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services15 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40213 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KARA KING APRN
Nurse Practitioner (Family)
4200 GARDINER VIEW AVE, SUITE 101
LOUISVILLE, KY 40213
Jefferson County (502) 456-0494
PEARL MEDICAL PRACTICE PLLC
Clinic/Center (Primary Care)
4200 GARDINER VIEW AVE, SUITE 200
LOUISVILLE, KY 40213
Jefferson County (502) 456-0494
MRS. DEANNA RENEE GORDINIER APRN
Nurse Practitioner (Family)
4200 GARDINER VIEW AVE, SUITE 101
LOUISVILLE, KY 40213
Jefferson County (502) 456-0494

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 Gina Clark's NPI number?

The NPI number for Gina Clark is 1174912406. It was assigned to this individual provider in the NPPES registry on January 9, 2015.

Where is Gina Clark located?

Gina Clark practices at 4200 Gardiner View Ave, Louisville, KY 40213. The listed phone number is (502) 456-0494.

What is Gina Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Gina Clark enrolled in Medicare?

Yes. Gina Clark 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.

What insurance does Gina Clark accept?

Health plans from Providence Health Plan list Gina Clark 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.

Is Gina Clark affiliated with any hospitals?

According to CMS data, Gina Clark is affiliated with Jewish Hospital & St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for Gina Clark was last updated on August 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.