JOANNA GULLION NP
NPI 1669142477
Nurse Practitioner - Family in Lexington, IN

Active since September 14, 2021PECOS EnrolledAccepts Medicare Assignment
91.61/100
CMS Quality Rating
4179 S PLEASANT RIDGE RD, LEXINGTON, IN 47138(812) 595-7795 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joanna Gullion Np NPPES

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

JOANNA GULLION NP (NPI 1669142477) is an individual family provider in Lexington, Indiana, licensed in Kentucky (3016611) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669142477
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJOANNA GULLIONCredential: NP
Location Address4179 S PLEASANT RIDGE RDLexington, IN 47138-8325
Mailing Address4179 S Pleasant Ridge RdLexington, IN 47138-8325 · (812) 595-7795
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 14, 2021
NPPES CertifiedSeptember 14, 2021
NPI 1669142477 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 · 3016611
4179 S PLEASANT RIDGE RD, Lexington, IN 47138

Accepted Insurance

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

Joanna Gullion Np 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 ID1153711874
PECOS Enrollment IDI20211210001671, I20211230000652
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
2,418 services440 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
502 services443 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
203 services129 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.
90 services66 patients

Hospital Affiliations CMS Care Compare 4

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

Clark Memorial Hospital

Acute Care Hospitals · Jeffersonville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150009
Location1220 Missouri AveJeffersonville, IN 47130 · Clark County
Emergency services Birthing friendly

Baptist Health Floyd

Acute Care Hospitals · New Albany, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150044
Location1850 State StNew Albany, IN 47150 · Floyd County
Emergency services Birthing friendly

Norton-King's Daughters' Health

Acute Care Hospitals · Madison, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150069
Location1373 East Sr 62Madison, IN 47250 · Jefferson County
Emergency services Birthing friendly

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47138 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

91.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.95
Promoting Interoperability99
Improvement Activities40
Cost51.57

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 Joanna Gullion's NPI number?

The NPI number for Joanna Gullion is 1669142477. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Joanna Gullion located?

Joanna Gullion practices at 4179 S Pleasant Ridge Rd, Lexington, IN 47138. The listed phone number is (812) 595-7795.

What is Joanna Gullion's specialty?

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

Is Joanna Gullion enrolled in Medicare?

Yes. Joanna Gullion 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.

What insurance does Joanna Gullion accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and Ambetter of Tennessee and 1 other insurer list Joanna Gullion 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 Joanna Gullion affiliated with any hospitals?

According to CMS data, Joanna Gullion is affiliated with Clark Memorial Hospital, Baptist Health Floyd, Norton-King's Daughters' Health and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Joanna Gullion was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.