Active NPI
Rachel Elizabeth Roberts, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3014122
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Substance Abuse Solutions LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Forefront Telecare Inc | Current | 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
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Jeffersonville, IN
- NPI 1124598669
KY
-
- Psychiatry Physician
- Dallas, TX
- NPI 1588101745
IL
-
dba FCH Physician Billing
- Critical Access Hospital
- Vandalia, IL
- NPI 1912988734
KY
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba OSF Saint Katharine Medical Center
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.