VICTORIA LEE BIVINS APRN
NPI 1225663677
Nurse Practitioner - Gerontology in Madisonville, KY

Active since March 05, 2020PECOS EnrolledAccepts Medicare Assignment
9 E ARCH ST, MADISONVILLE, KY 42431(833) 510-4357 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 9, 2024, Mar 5, 2020 (2 updates tracked since 2020).

About Victoria Lee Bivins Aprn NPPES

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

VICTORIA LEE BIVINS APRN (NPI 1225663677) is an individual gerontology provider in Madisonville, Kentucky, licensed in Kentucky (3014417) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Deaconess Madisonville, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1225663677
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameVICTORIA LEE BIVINSCredential: APRN
Location Address9 E ARCH STMadisonville, KY 42431-2063
Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 5, 2020
Last NPPES UpdateFebruary 9, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
NPI 1225663677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in KY · 3014417
Also ListedRegistered NurseTaxonomy 163W00000X · License 1128842 (KY)
9 E ARCH ST, Madisonville, KY 42431

Accepted 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

Victoria Lee Bivins 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 ID9537599527
PECOS Enrollment IDI20200414003387
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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
149 services28 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.
108 services22 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
56 services23 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
39 services11 patients
Measurement of alcohol level in breath specimen 82075
Measurement of alcohol level in a breath specimen is a non-invasive procedure to estimate blood alcohol content. It involves blowing into a device, called a breathalyzer, which analyzes the alcohol concentration in your breath. It helps determine if alcohol use is within legal and safe limits.
17 services14 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180093
Location900 Hospital DriveMadisonville, KY 42431 · Hopkins County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42431 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers16 claims16 services$49.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Counselor (Professional)
9 E ARCH ST
MADISONVILLE, KY 42431
Social Worker
9 E ARCH ST
MADISONVILLE, KY 42431
Nurse Practitioner (Family)
9 E ARCH ST
MADISONVILLE, KY 42431
Internal Medicine (Addiction Medicine)
9 E ARCH ST
MADISONVILLE, KY 42431
Social Worker
9 E ARCH ST
MADISONVILLE, KY 42431
Counselor (Professional)
9 E ARCH ST
MADISONVILLE, KY 42431
Nurse Practitioner (Psychiatric/Mental Health)
9 E ARCH ST
MADISONVILLE, KY 42431

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 Victoria Bivins's NPI number?

The NPI number for Victoria Bivins is 1225663677. It was assigned to this individual provider in the NPPES registry on March 5, 2020.

Where is Victoria Bivins located?

Victoria Bivins practices at 9 E Arch St, Madisonville, KY 42431. The listed phone number is (833) 510-4357.

What is Victoria Bivins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Victoria Bivins enrolled in Medicare?

Yes. Victoria Bivins 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 Victoria Bivins accept?

Health plans from CareSource list Victoria Bivins 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 Victoria Bivins affiliated with any hospitals?

According to CMS data, Victoria Bivins is affiliated with Baptist Health Deaconess Madisonville.

When was this NPI record last updated?

The NPPES record for Victoria Bivins was last updated on February 9, 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.