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MR. BRIAN KEITH GACKENBACH APRN
NPI 1306229349
Nurse Practitioner - Acute Care in Louisville, KY

Active since July 08, 2015PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
530 S JACKSON ST, LOUISVILLE, KY 40202(502) 217-1053 Get Directions Write a Review

NPPES record last updated: August 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Brian Keith Gackenbach Aprn NPPES

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

MR. BRIAN KEITH GACKENBACH APRN (NPI 1306229349) is an individual acute care provider in Louisville, Kentucky, licensed in Kentucky (3009514) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with University Of Louisville Hospital, and is a graduate of University Of Maryland School Of Medicine (2015).

NPPES Registry Identity

NPI1306229349
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. BRIAN KEITH GACKENBACHCredential: APRN
Location Address530 S JACKSON STLouisville, KY 40202-1675
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-0328
Phone(502) 217-1053
Sole ProprietorYes
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2015
Enumeration DateJuly 8, 2015
Last NPPES UpdateAugust 17, 2015
✔ NPI 1306229349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in KY · 3009514
530 S JACKSON ST, Louisville, KY 40202
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Mr. Brian Keith Gackenbach 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 ID8325354293
PECOS Enrollment IDI20150909000353
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.

Hospital Affiliations CMS Care Compare

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

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180141
Location530 South Jackson StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Other Providers at the Same Location NPPES 20

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

KARI BETH CHRISTIE MD
Anesthesiology
530 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-5851
MS. ERICA THOMPSON APRN
Nurse Practitioner (Acute Care)
530 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 562-3000
MRS. SHELBY VICTORIA COFER CRNA
Nurse Anesthetist, Certified Registered
530 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 562-3000
DR. SOHAIL CONTRACTOR M.D.
Radiology (Vascular & Interventional Radiology)
530 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-5875
MARIAN ANTONETTE COCHIAOSUE-AVERY
Nurse Anesthetist, Certified Registered
530 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-1735
HERMYS YANES BOZA APRN
Nurse Practitioner (Psychiatric/Mental Health)
530 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 562-3000
MS. ANNE CLAIRE CLEMMONS
Student in an Organized Health Care Education/Training Program
530 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 562-3000
DZHAMAL SARVALOV
Student in an Organized Health Care Education/Training Program
530 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 562-3000

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 Brian Gackenbach's NPI number?

The NPI number for Brian Gackenbach is 1306229349. It was assigned to this individual provider in the NPPES registry on July 8, 2015.

Where is Brian Gackenbach located?

Brian Gackenbach practices at 530 S Jackson St, Louisville, KY 40202. The listed phone number is (502) 217-1053.

What is Brian Gackenbach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Brian Gackenbach enrolled in Medicare?

Yes. Brian Gackenbach 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 Brian Gackenbach accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Brian Gackenbach 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 Brian Gackenbach affiliated with any hospitals?

According to CMS data, Brian Gackenbach is affiliated with University Of Louisville Hospital.

When was this NPI record last updated?

The NPPES record for Brian Gackenbach was last updated on August 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.