SKG HEALTH PLLC
NPI 1336721224
Nurse Practitioner - Family in Louisville, KY

Active since April 21, 2021
5516 RANDOM WAY, LOUISVILLE, KY 40291(502) 830-0321 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2021, Apr 21, 2021 (2 updates tracked since 2021).

About Skg Health Pllc NPPES

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

SKG HEALTH PLLC (NPI 1336721224) is a healthcare organization registered as a family in Louisville, Kentucky and active in the NPI registry since April 2021. The organization lists Shannon Gagliardi, Owner, as its authorized official.

NPPES Registry Identity

NPI1336721224
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSKG HEALTH PLLC
Location Address5516 RANDOM WAYLouisville, KY 40291-1822
Mailing Address5516 Random WayLouisville, KY 40291-1822 · (502) 830-0321 · Fax (866) 902-0669
Organization SubpartNo
Authorized OfficialShannon GagliardiOwner · (502) 830-0321
Enumeration DateApril 21, 2021
Last NPPES UpdateApril 30, 20212 updates tracked since enumeration
NPPES CertifiedApril 30, 2021
✔ NPI 1336721224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
5516 RANDOM WAY, Louisville, KY 40291

Other Identifiers 1

Other3006941KY · State License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Skg Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Skg Health PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1295388221
2120 PAYNE ST
Louisville, KY 40206
(502) 552-8597
✔ PECOS✔ Accepts Medicare7.7 mi
Nurse Practitioner
NPI 1063706075
2109 CLUB VISTA PL
Louisville, KY 40245
(502) 931-8331
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1962097428
282 YATES LN
Pendleton, KY 40055
(502) 377-1792
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1144777335
6799 FRANKFORT RD
Shelbyville, KY 40065
(502) 529-6120
✔ PECOS✔ Accepts Medicare29 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Skg Health PLLC's NPI number?

The NPI number for Skg Health PLLC is 1336721224. It was assigned to this organization in the NPPES registry on April 21, 2021.

Where is Skg Health PLLC located?

Skg Health PLLC is located at 5516 Random Way, Louisville, KY 40291. The listed phone number is (502) 830-0321.

What is Skg Health PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Skg Health PLLC enrolled in Medicare?

Yes. Skg Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Skg Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Skg Health PLLC. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Skg Health PLLC was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.