Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GINA SCHULER APRN
NPI 1669019535
Nurse Practitioner - Family in Edgewood, KY

Active since December 10, 2019PECOS Enrolled
90.38/100
CMS Quality Rating
560 S LOOP RD, EDGEWOOD, KY 41017(859) 301-2663(859) 817-7842 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2021, Dec 10, 2019 (2 updates tracked since 2019).

About Gina Schuler Aprn NPPES

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

GINA SCHULER APRN (NPI 1669019535) is an individual family provider in Edgewood, Kentucky, licensed in Kentucky (APRN.CNP.3013732) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1669019535
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGINA SCHULERCredential: APRN
Location Address560 S LOOP RDEdgewood, KY 41017-3405
Mailing Address560 S Loop RdEdgewood, KY 41017-3405
Fax(859) 817-7842
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 10, 2019
Last NPPES UpdateOctober 20, 20262 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1669019535 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
Licenses✔ Licensed in KY · APRN.CNP.3013732✔ Licensed in OH · APRN.CNP.025274✔ Licensed in IN · 28258092A
560 S LOOP RD, Edgewood, KY 41017

Accepted Insurance

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

Gina Schuler 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 ID8921434085
PECOS Enrollment IDI20200207002149, I20230217001347
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 Reassignment

Medicare enrollment records show Gina Schuler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
560 S LOOP RD
Edgewood, KY 41017
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 115 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.

Areas of Expertise CMS Part B claims 8

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
164 services27 patients
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.
59 services53 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
50 services38 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
49 services45 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.
32 services30 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
30 services26 patients

Hospital Affiliations CMS Care Compare 2

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier24 claims24 services$217.90 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 20

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

Podiatrist
560 S LOOP RD
EDGEWOOD, KY 41017
Physician Assistant
560 S LOOP RD
EDGEWOOD, KY 41017
Orthopaedic Surgery (Sports Medicine)
560 S LOOP RD
EDGEWOOD, KY 41017
Orthotist
560 S LOOP RD
EDGEWOOD, KY 41017
Physician Assistant (Surgical)
560 S LOOP RD
EDGEWOOD, KY 41017
Physical Therapist
560 S LOOP RD
EDGEWOOD, KY 41017
Pain Medicine (Interventional Pain Medicine)
560 S LOOP RD
EDGEWOOD, KY 41017
Orthopaedic Surgery
560 S LOOP RD
EDGEWOOD, KY 41017

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 Schuler's NPI number?

The NPI number for Gina Schuler is 1669019535. It was assigned to this individual provider in the NPPES registry on December 10, 2019.

Where is Gina Schuler located?

Gina Schuler practices at 560 S Loop Rd, Edgewood, KY 41017. The listed phone number is (859) 301-2663.

What is Gina Schuler's specialty?

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

Is Gina Schuler enrolled in Medicare?

Yes. Gina Schuler 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 organization bills Medicare for Gina Schuler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Schuler reassigns Medicare benefits to Orthocincy Orthopaedics & Sports Medicine Psc (Edgewood, KY). The 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 Schuler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gina Schuler accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Gina Schuler 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 Gina Schuler affiliated with any hospitals?

According to CMS data, Gina Schuler is affiliated with St Elizabeth Edgewood and St Elizabeth Florence.

When was this NPI record last updated?

The NPPES record for Gina Schuler was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.