Individual provider Active NPI

Rita Wilson, APRN

  • Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1558764928
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3008962 Issued in KY
Practice address
165 Natchez Trace Ave
Suite 205
Bowling Green, KY 42103-7940
Phone
(270) 282-2024
Fax
(270) 282-2027
NPI assigned
Sep 30, 2014
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 3008962 KY Primary

Addresses

Primary practice location

165 Natchez Trace Ave
Suite 205
Bowling Green, KY 42103-7940

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
7100319790MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rita.wilson.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
I20141031001259 KY Practitioner - Nurse Practitioner 9436370673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
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

  • The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013

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
3008962KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates, PLLC Nurse Practitioner CurrentSince Jul 1, 2023 Accepting new patients
Commonwealth Pain Associates PLLC CurrentSince Jul 1, 2023 Accepting new patients
Interventional Pain Specialists of Bowling Green, PLC Nurse Practitioner CurrentSince Sep 24, 2014 Accepting new patients
Interventional Pain Specialists of Bowling Green PLC Nurse Practitioner CurrentSince Sep 24, 2014 Accepting new patients
Interventional Pain Specialists of Bowling Green PLC Nurse Practitioner PastSince Nov 5, 2023 Accepting new patients

Locations

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

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

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

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

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 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": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1558764928",
    "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",
            "address_2": "SUITE 205",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037940",
            "telephone_number": "270-282-2024",
            "fax_number": "270-282-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "RITA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100319790",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rita.wilson.1@16521.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Commonwealth Pain Associates, PLLC",
            "address_1": "165 Natchez Trace Ave",
            "address_2": "Suite 205",
            "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.