Individual provider Active NPI

Rachel Elizabeth Roberts, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1912545468
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3014122 Issued in KY
Practice address
1143 Fairway St
Suite 103
Bowling Green, KY 42103-2452
Phone
(407) 347-4536
Fax
(812) 285-8392
NPI assigned
Dec 16, 2019
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3014122 KY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209026718 IL

Addresses

Primary practice location

1143 Fairway St
Suite 103
Bowling Green, KY 42103-2452

Mailing address

1143 Fairway St Ste 103
Bowling Green, KY 42103-2452
Phone (270) 570-2115

Other practice location 1

1 Memorial Dr
Alton, IL 62002-6722
Phone (812) 901-6882

Other practice location 2

403 E 1st St
Dixon, IL 61021-3187
Phone (815) 285-5638

Other names 1

  • Rachel Elizabeth Roberts-Boyd Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IL2 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
I20200401002551 KY Practitioner - Nurse Practitioner 4789013434 Reassigns benefits to 4 organizations
I20241118002549 IL Practitioner - Nurse Practitioner 4789013434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lake Substance Abuse Solutions LLCGroup PAC ID 8123440401, 20 clinicians

Practice addresses (Care Compare)

1143 Fairway St
Suite 103
Bowling Green, KY 42103-2452
Phone (833) 525-3727

401 9TH St
Lacon, IL 61540-1140
Phone (866) 959-2008

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Substance Abuse Solutions LLC Psychiatric/Mental Health CurrentSince Apr 1, 2023 Accepting new patients
Forefront Telecare Inc CurrentSince Aug 17, 2024 Accepting new patients

Locations

225 W Canton Ave
Ste 600
Winter Park, FL 32789
Phone (407) 347-4536

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

1143 Fairway St
Ste 103
Bowling Green, KY 42103
Phone (812) 901-6881

828 Lane Allen Rd
Ste 219
Lexington, KY 40504

Interoperability endpoints

  • Direct secure messaging: racel.roberts.1@24287.direct.athenahealth.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, 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": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1912545468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 FAIRWAY ST STE 103",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421032452",
            "telephone_number": "270-570-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 FAIRWAY ST",
            "address_2": "SUITE 103",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421032452",
            "telephone_number": "407-347-4536",
            "fax_number": "812-285-8392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Alton",
            "state": "IL",
            "postal_code": "620026722",
            "country_code": "US",
            "telephone_number": "812-901-6882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Dixon",
            "state": "IL",
            "postal_code": "610213187",
            "country_code": "US",
            "telephone_number": "815-285-5638",
            "fax_number": "815-285-5850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3014122",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209026718",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "ROBERTS-BOYD",
            "middle_name": "ELIZABETH",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.