Active NPI
Jillian Victoria Clary, DNAP, CRNA
- Critical Care Medicine Registered Nurse
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 230739
- Practice address
- 250 Park St
Bowling Green, KY 42101-1795 - Phone
- (270) 745-1178
- NPI assigned
- Sep 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4051373 | KY | |
| Critical Care Medicine Registered Nurse | 163WC0200X | 230739 | TN | Primary |
Addresses
Primary practice location
250 Park St
Bowling Green, KY 42101-1795
Mailing address
1021 Hendricks CT
Clarksville, TN 37040-5781
Phone (615) 772-1756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260219000505 | KY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0547740367 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Commonwealth Health Corporation, Inc.
Practice addresses (Care Compare)
250 Park St
Bowling Green, KY 42101-1760
Phone (270) 745-1111
Hospital & facility affiliations
- The Medical Center (Bowling Green)
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230739 | TN | MD | Critical Care Medicine Registered Nurse |
| 4051373 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Health Corporation, Inc. | Current | Accepting new patients | |
| Commonwealth Health Corporation, Inc. | Current | Accepting new patients |
Locations
350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
Organizations & group practices 4
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.
-
- Physical Therapist
- Bowling Green, KY
- NPI 1437678935
-
- Plastic and Reconstructive Surgery Physician
- Bowling Green, KY
- NPI 1104470699
-
- Internal Medicine Physician
- Bowling Green, KY
- NPI 1992180772
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1043293608
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1679296552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 HENDRICKS CT",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370405781",
"telephone_number": "615-772-1756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PARK ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011795",
"telephone_number": "270-745-1178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARY",
"first_name": "JILLIAN",
"middle_name": "VICTORIA",
"credential": "DNAP, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-26",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "4051373",
"primary": false
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "TN",
"license": "230739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.