Individual provider Active NPI

Mazie Whobrey, APRN

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1699519801
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4023039 Issued in KY
Practice address
6807 Louisville Rd
Bowling Green, KY 42101-8015
Phone
(270) 781-0490
NPI assigned
Jun 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 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 4023039 KY Primary

Addresses

Primary practice location

6807 Louisville Rd
Bowling Green, KY 42101-8015

Mailing address

201 Park St
Bowling Green, KY 42101-1708
Phone (270) 781-5111

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
I20240829003531 KY Practitioner - Nurse Practitioner 6103365432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graves Gilbert Clinic PLLCGroup PAC ID 4082511167, 207 clinicians

Practice addresses (Care Compare)

6807 Louisville Rd
Bowling Green, KY 42101-8015
Phone (270) 781-6477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4023039KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Graves Gilbert Clinic PLLC CurrentSince Sep 2, 2024 Accepting new patients
Graves Gilbert Clinic PLLC CurrentSince Sep 2, 2024 Accepting new patients

Locations

6807 Louisville Rd
Bowling Green, KY 42101
Phone (270) 597-3757

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

5575 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 282-7088

2724 Nashville Rd
Bowling Green, KY 42101
Phone (270) 780-0560

5796 Nashville Rd
Bowling Green, KY 42101
Phone (270) 745-0987

1225 Fairway St
Bowling Green, KY 42103
Phone (270) 781-3910

100 Park Pl
#4
Brownsville, KY 42210
Phone (270) 597-8353

1112 S Main St
Franklin, KY 42134
Phone (270) 586-1969

405 S L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 479-0260

950 Main St
Rowletts, KY 42765
Phone (270) 524-1201

Interoperability endpoints

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1699519801",
    "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": "421011708",
            "telephone_number": "270-781-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6807 LOUISVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421018015",
            "telephone_number": "270-781-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHOBREY",
        "first_name": "MAZIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4023039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.