Individual provider Active NPI

Rebecca Fuqua, APRN

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1932944121
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4023726 Issued in KY
Practice address
4863 Scottsville Rd Ste B
Bowling Green, KY 42104-7949
Phone
(270) 843-5662
Fax
(270) 843-5614
NPI assigned
Jun 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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 4023726 KY Primary

Addresses

Primary practice location

4863 Scottsville Rd Ste B
Bowling Green, KY 42104-7949

Mailing address

4863 Scottsville Rd Ste B
Bowling Green, KY 42104-7949
Phone (270) 843-5662

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
I20240821003879 KY Practitioner - Nurse Practitioner 6305384389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Bluegrass Med CareGroup PAC ID 2961873542, 3 clinicians

Practice addresses (Care Compare)

4863 Scottsville Rd
Suite B
Bowling Green, KY 42104-7949
Phone (270) 843-5662

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Med Care CurrentSince Aug 1, 2025 Accepting new patients

Locations

5796 Nashville Rd
Bowling Green, KY 42101
Phone (270) 745-0987

4863 Scottsville Rd
Ste B
Bowling Green, KY 42104
Phone (270) 843-5662

Interoperability endpoints

  • Direct secure messaging: rebeccafuqua@ggc.allscriptsdirect.net

Organizations & group practices 1

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": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1932944121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4863 SCOTTSVILLE RD STE B",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047949",
            "telephone_number": "270-843-5662",
            "fax_number": "270-843-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4863 SCOTTSVILLE RD STE B",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047949",
            "telephone_number": "270-843-5662",
            "fax_number": "270-843-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUQUA",
        "first_name": "REBECCA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4023726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.