Individual provider Active NPI

Paula Devore, APRN

  • Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1013251370
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3007546 Issued in KY
Practice address
165 Natchez Trace Ave Ste 205
Bowling Green, KY 42103-7947
Phone
(270) 745-7246
Fax
(270) 282-2027
NPI assigned
Nov 26, 2012
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3007546 KY Primary

Addresses

Primary practice location

165 Natchez Trace Ave Ste 205
Bowling Green, KY 42103-7947

Mailing address

PO Box 21890
Belfast, ME 04915-4115
Phone (502) 907-0356

Other identifiers 1

IdentifierTypeStateIssuer
7100231590MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paula.devore.1@16521.direct.athenahealth.com Commonwealth Pain Associates, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130119000012 KY Practitioner - Nurse Practitioner 9537312764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians

Practice addresses (Care Compare)

120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.99 of 100Reported as group
Quality
81.97
Promoting interoperability
97
Improvement activities
40
Cost
77.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3007546KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Pain Specialists of Bowling Green PLC Nurse Practitioner Current Accepting new patients
Commonwealth Pain Associates PLLC CurrentSince Jun 19, 2023 Accepting new patients
Interventional Pain Specialists of Bowling Green, PLC Nurse Practitioner CurrentSince Dec 4, 2012 Accepting new patients
Commonwealth Pain Associates, PLLC Nurse Practitioner CurrentSince Jun 19, 2023 Accepting new patients
Interventional Pain Specialists of Bowling Green PLC Nurse Practitioner CurrentSince Dec 4, 2012 Accepting new patients

Locations

935 Chambers Blvd
Bardstown, KY 40004
Phone (270) 506-3300

165 Natchez Trace Ave
Bowling Green, KY 42103
Phone (270) 782-7800

165 Natchez Trace Ave
Ste 205
Bowling Green, KY 42103
Phone (270) 282-2024

825 2nd Ave
Ste C6
Bowling Green, KY 42101
Phone (270) 745-7246

99 Wellpark Ln
Apt 4
Campbellsville, KY 42718
Phone (606) 260-8613

1112 S Main St
Ste 7
Franklin, KY 42134
Phone (270) 745-7246

1216 N Race St
Glasgow, KY 42141
Phone (270) 651-7246

223 Executive Park
Louisville, KY 40207

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: paula.devore.1@16521.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1013251370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21890",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154115",
            "telephone_number": "502-907-0356",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 NATCHEZ TRACE AVE STE 205",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037947",
            "telephone_number": "270-745-7246",
            "fax_number": "270-282-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVORE",
        "first_name": "PAULA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3007546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100231590",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paula.devore.1@16521.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Commonwealth Pain Associates, PLLC",
            "address_1": "165 Natchez Trace Ave",
            "city": "Bowling Green",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421037940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.