ANDREA S GIFFORD APRN, PMHNP-BC
NPI 1508341959
Nurse Practitioner - Psychiatric/Mental Health in Somerset, KY

Q: What is Andrea Gifford's NPI number?

The NPI number for Andrea Gifford is 1508341959. It was assigned to this individual provider in the NPPES registry on October 2, 2018.

Q: What is Andrea Gifford's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Gifford was last updated on June 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 02, 2018PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

200 BELMONT AVE, SOMERSET, KY 42501(606) 687-2038(606) 200-3654 Get Directions Write a Review

NPPES record last updated: June 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2020, May 19, 2020, Oct 2, 2018 (3 updates tracked since 2018).

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About Andrea S Gifford Aprn, Pmhnp-bc NPPES

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

ANDREA S GIFFORD APRN, PMHNP-BC (NPI 1508341959) is an individual psychiatric/mental health provider in Somerset, Kentucky, licensed in Kentucky (3012722) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and maintains a secondary practice location in Somerset.

NPPES Registry Identity

NPI1508341959

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameANDREA S GIFFORDCredential: APRN, PMHNP-BC

Location Address200 BELMONT AVESomerset, KY 42501

Mailing AddressPo Box 3044West Somerset, KY 42564-3044 · (606) 687-2038 · Fax (606) 200-3654

Phone(606) 687-2038

Fax(606) 200-3654

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 2, 2018

Last NPPES UpdateJune 8, 20203 updates tracked since enumeration

NPPES CertifiedJune 8, 2020

✔ NPI 1508341959 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 · 3012722

200 BELMONT AVE, Somerset, KY 42501

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Secondary Practice Location 1

Location 1250 Belmont Ave Ste 3Somerset, KY 42501-2428 · Phone (606) 687-2038 · Fax (606) 200-3654

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

Andrea S Gifford Aprn, Pmhnp-bc 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 ID547513236

PECOS Enrollment IDI20181025003139

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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

168 services35 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

134 services32 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.

38 services29 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

22 services12 patients

Hospital Affiliations CMS Care Compare

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

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180048

Location217 South Third StreetDanville, KY 40422 · Boyle County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42501 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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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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.

JANIE SHANAE DAY CSW

Social Worker (Clinical)