Individual provider Active NPI

Rachel Manter, APRN

  • Family Nurse Practitioner
  • Independence, KY
National Provider Identifier
1639922958
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4018349 Issued in KY
Practice address
745 Watersedge Dr
Independence, KY 41051-8315
Phone
(859) 991-4744
NPI assigned
Apr 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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 4018349 KY Primary

Addresses

Primary practice location

745 Watersedge Dr
Independence, KY 41051-8315

Mailing address

745 Watersedge Dr
Independence, KY 41051-8315

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
I20240613002360 KY Practitioner - Nurse Practitioner 1951844364 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Kentucky, PLLCGroup PAC ID 0143525998, 213 clinicians

Practice addresses (Care Compare)

1095 Morton Ave
Bardstown, KY 40004-3500
Phone (502) 601-0107

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Jun 17, 2024 Accepting new patients
Brock Medical, LLC CurrentSince Oct 1, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Oct 1, 2024 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Oct 1, 2024 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Oct 1, 2024 Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients

Locations

1095 Morton Ave
Bardstown, KY 40004
Phone (502) 601-0107

15100 N US Highway 25 E
Ste 1
Corbin, KY 40701
Phone (606) 261-2054

1873 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 404-6450

1591 Hustonville Rd
Danville, KY 40422
Phone (270) 861-1110

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

1700 Declaration Dr
Independence, KY 41051
Phone (859) 363-9020

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

420 Martin Luther King Hwy
Maysville, KY 41056
Phone (606) 375-4817

115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708

Organizations & group practices 8

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": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1639922958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 WATERSEDGE DR",
            "city": "INDEPENDENCE",
            "state": "KY",
            "postal_code": "410518315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 WATERSEDGE DR",
            "city": "INDEPENDENCE",
            "state": "KY",
            "postal_code": "410518315",
            "telephone_number": "859-991-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTER",
        "first_name": "RACHEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4018349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, KY

Sources for this page

Verify at the official NPI Registry.