Individual provider Active NPI

Kristin P. Boothe, APRN

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1902118789
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3006532 Issued in KY
Practice address
2609 New Hartford Rd Ste 3
Owensboro, KY 42303-1316
Phone
(812) 476-7111
Fax
(812) 476-7117
NPI assigned
Jul 8, 2010
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3006532 KY Primary
Registered Nurse 163W00000X 1114048 KY

Addresses

Primary practice location

2609 New Hartford Rd Ste 3
Owensboro, KY 42303-1316

Mailing address

PO Box 21890
Belfast, ME 04915-4115
Phone (502) 907-0356

Other practice location 1

9510 Ormsby Station Rd Ste 100
Louisville, KY 40223-4082
Phone (502) 327-9100

Other practice location 2

507 E Parrish Ave
Owensboro, KY 42303-3126
Phone (270) 852-9355

Other practice location 3

535 Wellington Way Ste 330
Lexington, KY 40503-1331
Phone (859) 439-0400

Other practice location 4

120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200

Other practice location 5

881 Corporate Dr Ste 110
Lexington, KY 40503-2748
Phone (859) 493-2812

Other names 1

  • Kristin P Ferrell Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristin.boothe.1@16521.direct.athenahealth.com Commonwealth Pain Associates, PLLC

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
I20100825000257 KY Practitioner - Nurse Practitioner 8921122144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owensboro Health, IncGroup PAC ID 0547154650, shared by 9 NPIs, 179 clinicians
Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians

Practice addresses (Care Compare)

1006 Ford Ave
Owensboro, KY 42301-4677
Phone (270) 688-4845

2609 New Hartford Rd
Suite 3
Owensboro, KY 42303-1316
Phone (812) 476-7111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.99 of 100Reported as group
Quality
81.97
Promoting interoperability
97
Improvement activities
40
Cost
77.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1114048KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates PLLC CurrentSince Jul 5, 2022 Accepting new patients
Commonwealth Pain Associates, PLLC Family CurrentSince Jul 5, 2022 Accepting new patients
Main Street Family Medicine, LLC Family CurrentSince Apr 25, 2022 Accepting new patients
Clark Chiropractic Center,LLC Family Past Accepting new patients

Locations

2429 W Parrish Ave
Ste 3
Owensboro, KY 42301

2609 New Hartford Rd
Ste 3
Owensboro, KY 42303
Phone (270) 417-2000

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

10015 Main St
Whitesville, KY 42378
Phone (270) 233-1884

Interoperability endpoints

  • Direct secure messaging: kristin.boothe.1@16521.direct.athenahealth.com

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

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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1902118789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21890",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154115",
            "telephone_number": "502-907-0356",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 NEW HARTFORD RD STE 3",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031316",
            "telephone_number": "812-476-7111",
            "fax_number": "812-476-7117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9510 Ormsby Station Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402234082",
            "country_code": "US",
            "telephone_number": "502-327-9100",
            "fax_number": "855-632-8329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "507 E Parrish Ave",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423033126",
            "country_code": "US",
            "telephone_number": "270-852-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Wellington Way Ste 330",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031331",
            "country_code": "US",
            "telephone_number": "859-439-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Executive Park",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074201",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "881 Corporate Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405032748",
            "country_code": "US",
            "telephone_number": "859-493-2812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOTHE",
        "first_name": "KRISTIN",
        "middle_name": "P.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006532",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1114048",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristin.boothe.1@16521.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Commonwealth Pain Associates, PLLC",
            "address_1": "2609 New Hartford Rd Ste 3",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423031316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "FERRELL",
            "middle_name": "P",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.