Individual provider Active NPI

Krista D. Neal, APRN

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1073027710
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011749 Issued in KY
Practice address
201 Park St
Bowling Green, KY 42101-1759
Phone
(270) 783-3379
Fax
(270) 393-2733
NPI assigned
Nov 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3011749 KY Primary

Addresses

Primary practice location

201 Park St
Bowling Green, KY 42101-1759

Mailing address

201 Park St
Bowling Green, KY 42101-1759
Phone (270) 783-3379

Other names 1

  • Krista Spink Former name

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
I20171220003087 KY Practitioner - Nurse Practitioner 1850659848 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Graves Gilbert Clinic PLLCGroup PAC ID 4082511167, 207 clinicians

Practice addresses (Care Compare)

201 Park St
Bowling Green, KY 42101-1708

201 Park St
Bowling Green, KY 42101-1742
Phone (270) 781-5111

2724 Nashville Rd
Bowling Green, KY 42101-4000
Phone 2707815111270

291 New Towne Dr
Bowling Green, KY 42103-7996
Phone (270) 796-3500

990 Wilkinson Trce
Bowling Green, KY 42103-3404
Phone (270) 781-4043

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3011749KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Health Corporation, Inc Current Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Jan 8, 2018 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince May 14, 2023 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Jan 8, 2018 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince May 14, 2023 Accepting new patients

Locations

201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

990 Wilkinson Trce
Bowling Green, KY 42103
Phone (270) 781-4043

Interoperability endpoints

  • Direct secure messaging: kristaneal@ggc.allscriptsdirect.net

Organizations & group practices 6

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

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": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1073027710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011759",
            "telephone_number": "270-783-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011759",
            "telephone_number": "270-783-3379",
            "fax_number": "270-393-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "KRISTA",
        "middle_name": "D.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "SPINK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.