1. Home
  2. Directory
  3. Kentucky
  4. Frankfort
  5. Nurse Practitioner
  6. NPI Profile

MRS. GINA W RILEY APRN, PMHNP
NPI 1427828706
Nurse Practitioner - Psychiatric/Mental Health in Frankfort, KY

Active since January 08, 2024PECOS EnrolledAccepts Medicare Assignment
306 W MAIN ST STE 512, FRANKFORT, KY 40601(574) 546-1900(574) 546-1999 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Gina W Riley Aprn, Pmhnp NPPES

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

MRS. GINA W RILEY APRN, PMHNP (NPI 1427828706) is an individual psychiatric/mental health provider in Frankfort, Kentucky, licensed in Kentucky (4011544) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Louisville, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1427828706
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. GINA W RILEYCredential: APRN, PMHNP
Location Address306 W MAIN ST STE 512Frankfort, KY 40601-1840
Mailing Address515 Oak Branch RdLouisville, KY 40245-5131 · (502) 287-3708
Phone(574) 546-1900
Fax(574) 546-1999
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 8, 2024
Last NPPES UpdateApril 19, 2024
NPPES CertifiedApril 19, 2024
✔ NPI 1427828706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 4011544
306 W MAIN ST STE 512, Frankfort, KY 40601
Open in Google Maps ↗

Secondary Practice Location 1

Location 14010 DuPont Cir Ste 210Louisville, KY 40207-4847 · Phone (502) 694-4820

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Gina W Riley Aprn, Pmhnp 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 ID4183077027
PECOS Enrollment IDI20240127000261
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 Gina Riley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Astra Behavioral Health LLC
63 mi
Psychiatry
2000 RING RD
Elizabethtown, KY 42701
  • Reassigned Medicare billing, Kentucky enrollment
  • 77 clinicians in this Medicare group
NPI 1922427517 (270) 506-2730
Kentucky Post-Acute Medical Services 1 Psc
64 mi
Behavioral Neurology & Neuropsychiatry
55 FOUNDATION DR
Flemingsburg, KY 41041
  • Reassigned Medicare billing, Kentucky enrollment
  • 83 clinicians in this Medicare group
NPI 1831628783 (606) 849-5000

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

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 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.
350 services119 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.
215 services125 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.
87 services58 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
40 services40 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.
30 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40601 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 11

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

NATALIE LISA BACK APRN
Nurse Practitioner (Family)
306 W MAIN ST STE 512
FRANKFORT, KY 40601
Franklin County (574) 546-1900
MS. MELINDA ROBIN TUCKER LCSW
Social Worker (Clinical)
306 W MAIN ST STE 512
FRANKFORT, KY 40601
Franklin County (574) 546-1900
ELIZA LYLES APRN-PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
306 W MAIN ST STE 512
FRANKFORT, KY 40601
Franklin County (574) 546-1900
DR. OLIVIA MAXINE HILCHEY PHD
Psychologist (Clinical)
306 W MAIN ST STE 512
FRANKFORT, KY 40601
Franklin County (576) 546-1900
MRS. ABIGAIL E POLLACHEK NP
Nurse Practitioner (Family)
306 W MAIN ST STE 512
FRANKFORT, KY 40601
Franklin County (270) 220-0562
DR. ANNE BAUMER PSY.D.
Psychologist (Clinical)
306 W MAIN ST STE 512
FRANKFORT, KY 40601
Franklin County (574) 546-1900
LORNE B CANSLER LCSW
Social Worker (Clinical)
306 W MAIN ST STE 512
FRANKFORT, KY 40601
Franklin County (574) 546-1900
ANGEL E OPARA PHMNP
Nurse Practitioner (Psychiatric/Mental Health)
306 W MAIN ST STE 512
FRANKFORT, KY 40601
Franklin County (574) 546-1900

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 Riley's NPI number?

The NPI number for Gina Riley is 1427828706. It was assigned to this individual provider in the NPPES registry on January 8, 2024.

Where is Gina Riley located?

Gina Riley practices at 306 W Main St Ste 512, Frankfort, KY 40601. The listed phone number is (574) 546-1900.

What is Gina Riley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Gina Riley enrolled in Medicare?

Yes. Gina Riley 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.

Which organizations bill Medicare for Gina Riley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Riley reassigns Medicare benefits to 2 organizations: Astra Behavioral Health LLC (Elizabethtown, KY) and Kentucky Post-Acute Medical Services 1 Psc (Flemingsburg, 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 Gina Riley'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 Gina Riley was last updated on April 19, 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.