Individual provider Active NPI

Lora A Russell, APRN

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1114571429
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012804 Issued in KY
Practice address
1649 Scottsville Rd
Bowling Green, KY 42104-3244
Phone
(270) 906-0138
NPI assigned
Jul 25, 2019
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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 3012804 KY Primary

Addresses

Primary practice location

1649 Scottsville Rd
Bowling Green, KY 42104-3244

Mailing address

1220 Bethany Church Rd
Princeton, KY 42445-5258

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
I20190816002079 KY Practitioner - Nurse Practitioner 5799012589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Applegate Health Services IncGroup PAC ID 1254751472, 10 clinicians

Practice addresses (Care Compare)

1649 Scottsville Rd
Bowling Green, KY 42104-3244
Phone (270) 232-2482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Applegate Health Services, Inc CurrentSince Jul 12, 2024 Accepting new patients
Applegate Health Services, Inc Current Accepting new patients
Applegate Health Services, Inc. CurrentSince Jul 12, 2024 Accepting new patients
Spero Health of Kentucky, LLC CurrentSince Apr 8, 2022 Accepting new patients
Applegate Health Services, Inc Past Accepting new patients

Locations

1649 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 232-2482

565 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 287-3230

106 Belinda Blvd
Ste 100
Danville, KY 40422
Phone (859) 439-0340

436 N Main St
Madisonville, KY 42431
Phone (270) 216-6216

11518 Main St
Middletown, KY 40243
Phone (502) 445-6235

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

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.

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1114571429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 BETHANY CHURCH RD",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424455258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 SCOTTSVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043244",
            "telephone_number": "270-906-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "LORA",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.