Individual provider Active NPI

Colby Ray Carroll, APRN

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1851963789
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016182 Issued in KY
Practice address
6807 Louisville Rd
Bowling Green, KY 42101-8015
Phone
(270) 781-5111
NPI assigned
Jul 12, 2021
Last updated
Jul 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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 3016182 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
I20210726000569 KY Practitioner - Nurse Practitioner 9638572977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Plus Family Healthcare LLCGroup PAC ID 2466728852, 9 clinicians
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

12080 S Dixie Hwy
Sonora, KY 42776-9739
Phone (270) 640-9868

201 S Main St
Leitchfield, KY 42754-1425
Phone (270) 230-1729

210 S Main St
Suite 101
Brownsville, KY 42210-9001
Phone (270) 975-4050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
51.24 of 100Reported as group
Quality
19.19
Promoting interoperability
87
Improvement activities
0
Cost
79.12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
A Plus Family Healthcare LLC CurrentSince Nov 13, 2023 Accepting new patients

Locations

210 S Main St
#101
Brownsville, KY 42210
Phone (270) 975-4050

3046 Dolphin Dr
Ste 100
Elizabethtown, KY 42701
Phone (270) 982-1400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1851963789",
    "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": "270-781-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "COLBY",
        "middle_name": "RAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.