Individual provider Active NPI

Kelly Renae Rainwaters, APRN

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1811660772
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016285 Issued in KY
Practice address
1681 Normal Drive
Bowling Green, KY 42101
Phone
(270) 745-2273
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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 3016285 KY Primary

Addresses

Primary practice location

1681 Normal Drive
Bowling Green, KY 42101

Mailing address

1230 Homer Chapel Rd
Russellville, KY 42276-8102

Other practice location 1

1497 Nashville St
Russellville, KY 42276-8850
Phone (270) 726-9568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220126002744 KY Practitioner - Nurse Practitioner 3779975636 Reassigns benefits to 2 organizations
I20230403001377 TN Practitioner - Nurse Practitioner 3779975636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of Western Kentucky, Inc.Group PAC ID 5193769370, shared by 6 NPIs, 23 clinicians

Practice addresses (Care Compare)

1497 Nashville St
Russellville, KY 42276-8850
Phone (270) 726-9568

2200 Bowling Green Rd
Russellville, KY 42276-9602
Phone (270) 586-5888

480 Hopkinsville St
Greenville, KY 42345-1124
Phone (270) 338-5777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Health Corporation, Inc. Family CurrentSince Feb 3, 2024 Accepting new patients
Community Health Centers of Western Kentucky, Inc. CurrentSince Apr 1, 2026 Accepting new patients
Community Health Centers of Western Kentucky, Inc. CurrentSince Apr 1, 2026 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Dec 20, 2022 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Feb 3, 2024 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Dec 20, 2022 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
Community Health Centers of Western Kentucky Inc Past 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

1497 Nashville St
Russellville, KY 42276
Phone (270) 726-1266

2200 Bowling Green Rd
Russellville, KY 42276
Phone (270) 726-8454

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

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.

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1811660772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 HOMER CHAPEL RD",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422768102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 NORMAL DRIVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42101",
            "telephone_number": "270-745-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1497 Nashville St",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "KY",
            "postal_code": "422768850",
            "country_code": "US",
            "telephone_number": "270-726-9568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAINWATERS",
        "first_name": "KELLY",
        "middle_name": "RENAE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.