MR. CRAIG DOUGLAS ROUBEN
NPI 1043562267
Nurse Practitioner - Family in Elizabethtown, KY
About Mr. Craig Douglas Rouben NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CRAIG DOUGLAS ROUBEN (NPI 1043562267) is an individual family provider in Elizabethtown, Kentucky, licensed in Kentucky (3007663) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Craig Douglas Rouben is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Craig Rouben reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elizabethtown, KY 42701
- Reassigned Medicare billing, Kentucky enrollment
- 8 clinicians in this Medicare group
Jeffersonville, IN 47130
- Reassigned Medicare billing, Indiana enrollment
- 38 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 42701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELIZABETHTOWN, KY 42701
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Craig Rouben's NPI number?
The NPI number for Craig Rouben is 1043562267. It was assigned to this individual provider in the NPPES registry on October 11, 2012.
Where is Craig Rouben located?
Craig Rouben practices at 110 Chase Way Ste 2, Elizabethtown, KY 42701. The listed phone number is (502) 212-0071.
What is Craig Rouben's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Craig Rouben enrolled in Medicare?
Yes. Craig Rouben is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Craig Rouben's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Craig Rouben reassigns Medicare benefits to 2 organizations: Specialistsmat Psc (Elizabethtown, KY) and North Clark Medical Group LLC (Jeffersonville, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Craig Rouben's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Craig Rouben accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Craig Rouben as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Craig Rouben was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Craig Douglas Rouben · NPI 1043562267
Family physician in Elizabethtown, Kentucky. Individual provider, active in the CMS NPPES registry since October 11, 2012.
## Identity
- **NPI:** 1043562267 (Entity type: Individual)
- **Enumerated:** October 11, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3007663 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 110 CHASE WAY STE 2, Elizabethtown, KY 42701-7827
- **Phone:** (502) 212-0071
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Specialistsmat Psc (NPI 1851998181, Elizabethtown, KY); North Clark Medical Group LLC (NPI 1376095711, Jeffersonville, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** February 22, 2024
- **Other identifiers:** Other 1087566 (KY); Other 71004539A (IN); Other IN3604006 (IN); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1043562267) · Data from the CMS NPPES public registry.