MRS. RITA CAROL GILBERT APRN
NPI 1396257358
Nurse Practitioner - Family in Gray, KY

Active since October 31, 2017PECOS Enrolled
95.5/100
CMS Quality Rating
39 CUMBERLAND GAP PLZ, GRAY, KY 40734(606) 275-3415 Get Directions Write a Review

NPPES record last updated: November 16, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 16, 2018, Oct 31, 2017 (2 updates tracked since 2017).

About Mrs. Rita Carol Gilbert Aprn NPPES

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

MRS. RITA CAROL GILBERT APRN (NPI 1396257358) is an individual family provider in Gray, Kentucky, licensed in Kentucky (3011562) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396257358
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. RITA CAROL GILBERTCredential: APRN
Location Address39 CUMBERLAND GAP PLZGray, KY 40734-4536
Mailing AddressPo Box 390Hyden, KY 41749-0390 · (606) 275-3415
Sole ProprietorNo
Enumeration DateOctober 31, 2017
Last NPPES UpdateNovember 16, 20182 updates tracked since enumeration
✔ NPI 1396257358 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
License✔ Licensed in KY · 3011562
39 CUMBERLAND GAP PLZ, Gray, KY 40734

Other Identifiers 1

Medicaid7100498410KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Rita Carol Gilbert Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Rita Gilbert reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
14662 N US HIGHWAY 25E
Corbin, KY 40701
  • Reassigned Medicare billing, Kentucky enrollment
  • 81 clinicians in this Medicare group
Hospice and Palliative Medicine
1733 HARRODSBURG RD
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 45 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 40734 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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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
2 suppliers16 claims16 services$73.94 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$101.90 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 12

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

Nurse Practitioner (Family)
39 CUMBERLAND GAP PLZ
GRAY, KY 40734
Nurse Practitioner (Family)
39 CUMBERLAND GAP PLZ
GRAY, KY 40734
Nurse Practitioner
39 CUMBERLAND GAP PLZ, STE 1
GRAY, KY 40734
Family Medicine
39 CUMBERLAND GAP PLZ
GRAY, KY 40734
Nurse Practitioner (Family)
39 CUMBERLAND GAP PLZ
GRAY, KY 40734
Nurse Practitioner
39 CUMBERLAND GAP PLZ
GRAY, KY 40734
Nurse Practitioner (Family)
39 CUMBERLAND GAP PLZ
GRAY, KY 40734
Nurse Practitioner (Family)
39 CUMBERLAND GAP PLZ
GRAY, KY 40734

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 Rita Gilbert's NPI number?

The NPI number for Rita Gilbert is 1396257358. It was assigned to this individual provider in the NPPES registry on October 31, 2017.

Where is Rita Gilbert located?

Rita Gilbert practices at 39 Cumberland Gap Plz, Gray, KY 40734. The listed phone number is (606) 275-3415.

What is Rita Gilbert's specialty?

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

Is Rita Gilbert enrolled in Medicare?

Yes. Rita Gilbert is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rita Gilbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rita Gilbert reassigns Medicare benefits to 2 organizations: Grace Community Health Center, Inc. (Corbin, KY) and Palliative Care Center Of The Bluegrass Inc. (Lexington, KY). Each 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 Rita Gilbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rita Gilbert was last updated on November 16, 2018. 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.