GINA LYNN MALONE APRN
NPI 1801485842
Nurse Practitioner - Family in Louisville, KY

Active since January 14, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
12501 SHELBYVILLE RD, LOUISVILLE, KY 40243(502) 253-2047 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2025, Feb 2, 2021, Jan 14, 2021 (3 updates tracked since 2021).

About Gina Lynn Malone Aprn NPPES

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

GINA LYNN MALONE APRN (NPI 1801485842) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3015474) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1801485842
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGINA LYNN MALONECredential: APRN
Location Address12501 SHELBYVILLE RDLouisville, KY 40243-1530
Mailing AddressPo Box 932958Cleveland, OH 44193-0028
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 14, 2021
Last NPPES UpdateApril 7, 20253 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
NPI 1801485842 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 · 3015474
12501 SHELBYVILLE RD, Louisville, KY 40243

Other Names 1

Former Name (1)Gina Burress

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

Gina Lynn Malone 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 ID840604781
PECOS Enrollment IDI20210204000583
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 6

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.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
82 services82 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
80 services80 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.
42 services39 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
36 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
32 services32 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
27 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40243 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Family)
12501 SHELBYVILLE RD
MIDDLETOWN, KY 40243
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12501 SHELBYVILLE RD
MIDDLETOWN, KY 40243
Pharmacist
12501 SHELBYVILLE RD
LOUISVILLE, KY 40243
Nurse Practitioner (Family)
12501 SHELBYVILLE RD
MIDDLETOWN, KY 40243
Nurse Practitioner (Family)
12501 SHELBYVILLE RD
MIDDLETOWN, KY 40243
Nurse Practitioner (Family)
12501 SHELBYVILLE RD
MIDDLETOWN, KY 40243
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12501 SHELBYVILLE RD
LOUISVILLE, KY 40243
Pharmacy (Community/Retail Pharmacy)
12501 SHELBYVILLE RD
MIDDLETOWN, KY 40243

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 Malone's NPI number?

The NPI number for Gina Malone is 1801485842. It was assigned to this individual provider in the NPPES registry on January 14, 2021. The provider is also known as Gina Burress.

Where is Gina Malone located?

Gina Malone practices at 12501 Shelbyville Rd, Louisville, KY 40243. The listed phone number is (502) 253-2047.

What is Gina Malone's specialty?

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

Is Gina Malone enrolled in Medicare?

Yes. Gina Malone 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.

When was this NPI record last updated?

The NPPES record for Gina Malone was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.