BOWLING GREEN PSYCHIATRY
NPI 1861099269
Nurse Practitioner - Psychiatric/Mental Health in Bowling Green, KY

Q: What is Bowling Green Psychiatry's NPI number?

The NPI number for Bowling Green Psychiatry is 1861099269. It was assigned to this organization in the NPPES registry on October 8, 2020.

Q: What is Bowling Green Psychiatry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 08, 2020

730 FAIRVIEW AVE STE B3, BOWLING GREEN, KY 42101(270) 715-0665(270) 550-2008 Get Directions Write a Review

NPPES record last updated: October 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 24, 2025, Feb 19, 2025, Apr 13, 2021 and 2 more (5 updates tracked since 2020).

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About Bowling Green Psychiatry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOWLING GREEN PSYCHIATRY (NPI 1861099269) is a healthcare organization registered as a psychiatric/mental health in Bowling Green, Kentucky and active in the NPI registry since October 2020. The organization maintains a secondary practice location in Bowling Green and lists Daltrey Anne Tyree, Owner, Provider, as its authorized official.

NPPES Registry Identity

NPI1861099269

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameBOWLING GREEN PSYCHIATRY

Location Address730 FAIRVIEW AVE STE B3Bowling Green, KY 42101-2365

Mailing Address730 Fairview Ave Ste B3Bowling Green, KY 42101-2365 · (270) 715-0665 · Fax (270) 550-2008

Phone(270) 715-0665

Fax(270) 550-2008

Organization SubpartNo

Authorized OfficialDaltrey Anne TyreeOwner, Provider · (270) 421-3397

Enumeration DateOctober 8, 2020

Last NPPES UpdateOctober 19, 20255 updates tracked since enumeration

NPPES CertifiedOctober 19, 2025

✔ NPI 1861099269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

730 FAIRVIEW AVE STE B3, Bowling Green, KY 42101

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Secondary Practice Location 1

Location 11911 Scottsville Rd Ste BBowling Green, KY 42104-3303 · Phone (270) 421-9937 · Fax (270) 550-2008

Other Identifiers 1

Medicaid7100697650KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bowling Green Psychiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bowling Green Psychiatry, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Daltrey Tyree, PMHNP, APRN

Nurse Practitioner

NPI 1619968542

730 FAIRVIEW AVE STE B3
Bowling Green, KY 42101

(270) 715-0665

✔ PECOS✔ Accepts MedicareSame address

Shelly Geary, APRN

Nurse Practitioner

NPI 1770906513

2817 COUNTY LOOP RD
Franklin, KY 42134

(615) 379-8120

✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bowling Green Psychiatry's NPI number?

The NPI number for Bowling Green Psychiatry is 1861099269. It was assigned to this organization in the NPPES registry on October 8, 2020.

Where is Bowling Green Psychiatry located?

Bowling Green Psychiatry is located at 730 Fairview Ave Ste B3, Bowling Green, KY 42101. The listed phone number is (270) 715-0665.

What is Bowling Green Psychiatry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Bowling Green Psychiatry enrolled in Medicare?

Yes. Bowling Green Psychiatry is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bowling Green Psychiatry?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Bowling Green Psychiatry. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bowling Green Psychiatry accept?

Health plans from Anthem Blue Cross and Blue Shield list Bowling Green Psychiatry 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 Bowling Green Psychiatry was last updated on October 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.