Individual provider Active NPI

Bailey Mattingly, APRN

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1730967159
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4008443 Issued in KY
Practice address
291 New Towne Dr
Bowling Green, KY 42103-7996
Phone
(270) 796-3500
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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 4008443 KY Primary

Addresses

Primary practice location

291 New Towne Dr
Bowling Green, KY 42103-7996

Mailing address

494 Hub Blvd Apt 133
Bowling Green, KY 42103-8922
Phone (270) 735-3031

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
I20240221003807 KY Practitioner - Nurse Practitioner 5395189906 Reassigns benefits to 2 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

Practice addresses (Care Compare)

291 New Towne Dr
Bowling Green, KY 42103-7996
Phone (270) 796-3500

584 Westport Rd
Suite 101
Elizabethtown, KY 42701-2988
Phone (270) 982-5138

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4008443KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Rheumatology, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Commonwealth Health Corporation, Inc Family CurrentSince Dec 27, 2023 Accepting new patients
Lake Cumberland Rheumatology, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Dec 27, 2023 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients

Locations

3897 Charlestown Rd
New Albany, IN 47150
Phone (502) 495-3665

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

584 Westport Rd
Ste 101
Elizabethtown, KY 42701
Phone (270) 769-2535

1675 S Main St
Ste 4
London, KY 40741
Phone (606) 266-8266

Interoperability endpoints

  • Direct secure messaging: bailey.mattingly.p1@direct.lcr.nextgenshare.com

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1730967159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 HUB BLVD APT 133",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421038922",
            "telephone_number": "270-735-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 NEW TOWNE DR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037996",
            "telephone_number": "270-796-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "BAILEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4008443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.